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Jack Fowler

Current news from the Informed Medical Decisions Foundation.

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Jack Fowler

Three Elements for Better Studies Evaluating the Effects of Decision Aids

The study designs needed to collect this data vary, and no one study is going to collect data addressing all of these important evaluative questions. However, we very much need more quality data on when and how using DAs affects patient care, and we should try to take advantage of every opportunity to collect good evaluation data when DAs are introduced into a new setting. There are three elements to think about when considering the collection of evaluation data. Continue reading

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Jack Fowler

Do the Decision Aids Lead to Better Decisions?

How would we know a “better” decision if we saw one? Donald Berwick, former director of the Centers for Medicare and Medicaid Services, proposed what he called the “Triple Aim”: better health care and better health at lower cost. One way to answer the question of whether the decisions are “better”—and thereby demonstrate the “value” of using DAs and other patient support materials—is to collect data to evaluate how each of these aims is affected. Continue reading

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Jack Fowler

How is Decision Making Affected by Decision Aid Exposure?

The next key evaluative question is this: How was decision making affected by exposure? There are a number of reasons to introduce accurate, complete, understandable information to patients. And a comprehensive assessment of how well those objectives are achieved requires appropriate data collection procedures and measurement. Continue reading

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Michael J. Barry, MD

The President’s Corner: May/June 2015

Together, Jack and Al wrestled with how to find the “right rate” of medical care, preserving wanted variation attributable to patients’ clinical conditions and preferences while reducing unwanted variation due to clinicians’ preferences. They concluded that the answer would be found in ensuring that patients are fully informed about and involved in their medical decisions. This melding of minds produced the Informed Medical Decisions Foundation in 1989. And for 26 years we’ve had truly big shoes to fill in carrying forward their ideals! Continue reading

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Jack Fowler

Are Decision Aids Used by the Patients that Need Them?

Any evaluation of the effects of adopting DAs has to start with the question of the extent to which they are used by the patients who need them. How well are they disseminated? This, in turn, requires collecting four different kinds of information. Continue reading

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