Shared Decision Making
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Shared Decision Making
Shared decision making is the pinnacle of patient-centered care.
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Shared Decision Making Will Require New Tools, Paradigms in Radiation Oncology

Shared Decision Making Will Require New Tools, Paradigms in Radiation Oncology | Shared Decision Making | Scoop.it
Trends in radiation oncology indicates movement toward a greater role for shared decision making and patient-reported outcomes.
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Improving the Quality of Care for Medicare Beneficiaries by Increasing Patient Engagement

Improving the Quality of Care for Medicare Beneficiaries  by Increasing Patient Engagement | Shared Decision Making | Scoop.it
by Patrick Conway, M.D., Principal Deputy Administrator and Chief Medical Officer, CMS and Andy B. Bindman, M.D. Director, Agency for Healthcare Research and Quality The Department of Health and Human Services (HHS) identifies the engagement of Medicare beneficiaries as a cornerstone to achieving better care, smarter spending, and healthier people. Our agencies – the Centers…
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Can patient decision aids be used to improve not only decisional comfort but also adherence?

Can patient decision aids be used to improve not only decisional comfort but also adherence? https://t.co/atIwD9OLSA
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Patient decision aids for prevention and treatment of cancer diseases: are they really personalised tools? - PubMed - NCBI

Patient decision aids for prevention and treatment of cancer diseases: are they really personalised tools? - PubMed - NCBI | Shared Decision Making | Scoop.it
Eur J Cancer Care (Engl). 2016 Nov;25(6):936-960. doi: 10.1111/ecc.12451. Epub 2016 Feb 9.
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ISDM 2017

ISDM 2017 | Shared Decision Making | Scoop.it
RT @EntwistleV: ISDM 2017 (international conference on shared decision making) will be in Lyon 2-5 July #sdm https://t.co/nwgs7Y5Xfa
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The Best Screening Test Is the One That Gets Performed - Informed Medical Decisions Foundation

The Best Screening Test Is the One That Gets Performed - Informed Medical Decisions Foundation | Shared Decision Making | Scoop.it
Find out why the best screening test for colon cancer is the one the patient chooses.
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Too much medicine in older people? Deprescribing through shared decision making

Jansen and colleagues explore the role of shared decision making in tackling inappropriate polypharmacy in older adults

Too much medicine is an increasingly recognised problem,1 2 and one manifestation is inappropriate polypharmacy in older people. Polypharmacy is usually defined as taking more than five regular prescribed medicines.3 It can be appropriate (when potential benefits outweigh potential harms)4 but increases the risk of older people experiencing adverse drug reactions, impaired physical and cognitive function, and hospital admission.5 6 7 There is limited evidence to inform polypharmacy in older people, especially those with multimorbidity, cognitive impairment, or frailty.8 Systematic reviews of medication withdrawal trials (deprescribing) show that reducing specific classes of medicines may decrease adverse events and improve quality of life.9 10 11

Two recent reviews of the literature on deprescribing stressed the importance of patient involvement and shared decision making.12 13 Patients and clinicians typically overestimate the benefits of treatments and underestimate their harms.14 When they engage in shared decision making they become better informed about potential outcomes and as a result patients tend to choose more conservative options (eg, fewer medicines), facilitating deprescribing.15 However, shared decision making in this context is not easy, and there is little guidance on how to do it.16

We draw together evidence from the psychology, communication, and decision making literature (see appendix on thebmj.com). For each step of the shared decision making process we describe the unique tasks required for deprescribing decisions; identify challenges for older adults, their companions, and clinicians (figure); give practical advice on how challenges may be overcome; highlight where more work is needed; and identify priorities for future research (table).17 18



Schematic representation of challenges for clinicians and older patients associated with each step of the process of shared decision …
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What do stakeholders need to implement shared decision making in routine cancer care? A qualitative needs assessment.

What do stakeholders need to implement shared decision making in routine cancer care? A qualitative needs assessment. | Shared Decision Making | Scoop.it
Shared decision making (SDM) is particularly relevant in oncology, where complex treatment options with varying side effects may lead to meaningful changes i
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Informed Consent and the Reasonable-Patient Standard—Reply

Informed Consent and the Reasonable-Patient Standard—Reply | Shared Decision Making | Scoop.it
Letter from JAMA — Informed Consent and the Reasonable-Patient Standard—Reply
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Shared Decision-Making - A Nation in Motion

Shared Decision-Making - A Nation in Motion | Shared Decision Making | Scoop.it
“You are the doctor. Why don’t you just tell me what to do?” “If this were your child, what would you do?” “I did not go to medical school, how can I make this decision?
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Can a shared decision-making tool move the needle on health disparities?

Can a shared decision-making tool move the needle on health disparities? | Shared Decision Making | Scoop.it
A clinical trial will test how laying out the calculus of various treatment options affects the healthcare decisions of minority patients with knee pain.
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Washington state first in nation to approve patient decision aids - LocalHealthGuide

Washington state first in nation to approve patient decision aids - LocalHealthGuide | Shared Decision Making | Scoop.it
Washington State Health Care Authority has certified four patient decision aids to help patients make informed decisions about their care.
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Health Care Authority certifies first patient decision aids | Washington State Health Care Authority

Health Care Authority certifies first patient decision aids | Washington State Health Care Authority | Shared Decision Making | Scoop.it
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CMS Innovation Center testing shared decision-making models

CMS Innovation Center testing shared decision-making models https://t.co/wZr3bGiEOm https://t.co/qiPvnXhu1L
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ISDM 2017

ISDM 2017 | Shared Decision Making | Scoop.it
International Shared Decision Making conference Lyon, France July 2-5, 2017 #ISDM #gpho https://t.co/hpA2JuvC0N
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Do Men Receive Information Required for Shared Decision Making About PSA Testing? Results from a National Survey. - PubMed - NCBI

Do Men Receive Information Required for Shared Decision Making About PSA Testing? Results from a National Survey. - PubMed - NCBI | Shared Decision Making | Scoop.it
J Cancer Educ. 2016 Dec;31(4):693-701.
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Why Shared Decision Making Should Apply to Informed Consent

Why Shared Decision Making Should Apply to Informed Consent | Shared Decision Making | Scoop.it
Based on an interview with Erica S. Spatz, MD, MHS,
Assistant Professor of Medicine, Yale School of Medicine

Imagine that you’re about to be wheeled into surgery.
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Online tools aid in shared decision-making, says doc | FierceHealthcare

Online tools aid in shared decision-making, says doc | FierceHealthcare | Shared Decision Making | Scoop.it
While a broken bone can be fixed with a cast or a ruptured appendix remedied with surgery, often decisions about treatment plans reside in a “gray zone.” That’s when doctors and patients need to be armed with the best...
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Helping Patients Make the Right Decisions

Helping Patients Make the Right Decisions | Shared Decision Making | Scoop.it
We must do a better job of guiding patients through the subtle, sometimes counterintuitive, trade-offs inherent in the tests and treatments we propose.
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Groups Urge Robust Patient Engagement in Stage 3 Meaningful Use

Groups Urge Robust Patient Engagement in Stage 3 Meaningful Use | Shared Decision Making | Scoop.it
The Consumer Partnership for eHealth says CMS must maintain its stance on patient engagement in Stage 3 meaningful use, calling on more robust program requireme
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The New Era of Informed Consent

The New Era of Informed Consent | Shared Decision Making | Scoop.it
Opinion from JAMA — The New Era of Informed Consent — Getting to a Reasonable-Patient Standard Through Shared Decision Making
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Do choosing wisely tools meet criteria for patient decision aids? A descriptive analysis of patient materials

Do choosing wisely tools meet criteria for patient decision aids? A descriptive analysis of patient materials https://t.co/DbnNIS1YXR
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Making Informed Decisions

Making Informed Decisions | Shared Decision Making | Scoop.it
Making informed decisions is an essential way to be involved in your maternity care. This means knowing the options and learning their possible benefits and harms according to best available research.
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Healthwise(R) Pregnancy Decision Aids Receive Certification From Washington State

Healthwise(R) Pregnancy Decision Aids Receive Certification From Washington State | Shared Decision Making | Scoop.it
BOISE, ID--(Marketwired - August 25, 2016) - Healthwise is one of the first organizations in the nation to receive certification for its patient decision aids, part of an effort in the state of Washington to bring consistency and rigor to health education and put evidence-based information into the hand
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Choices, Choices: Shared Decision Making Can Help -- Veterans Health Administration

Choices, Choices: Shared Decision Making Can Help -- Veterans Health Administration | Shared Decision Making | Scoop.it
Veterans and their families should be involved in making health care decisions today that will affect their treatment in the future. VA’s “Shared Decision Making” makes that possible.
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