Dale is a professor of surgery at the Giesel School of Medicine at Dartmouth and chief of plastic surgery at Dartmouth-Hitchcock Medical Center (DHMC). She joined Dartmouth-Hitchcock Clinic in 1995 and served as medical director of the breast program from 1999 to 2009. Under her direction, the care of patients with breast cancer moved from a fragmented system of specialty care programs to a coordinated, interdisciplinary process with a single point of contact for patients. Use of computerized screening tools and patient decision-making aids within the program has resulted in greater patient satisfaction and a marked improvement in patients’ ability to make an informed choice about treatment options.
Due to the complexity of prenatal screening, researchers are creating a decision aid tool (a DVD and booklet) that can be mailed to patients prior to a first prenatal visit, making it accessible, private, and able to be shared with all decision makers. This project aims to provide a decision aid to pregnant women and their families, in order to decrease decisional tension and improve communication between patient and provider. We believe that a DVD format is the most effective communication medium to reach the target audience of all women receiving prenatal care at DHMC.
Posted in Decision Quality, Investigator-Initiated Research, Patient Decision Aids, Patient Knowledge, Patient Preferences, Robert Derzon Grants, SDM Implementation, Special Populations
Tagged decision support, DHMC, pregnancy, prenatal care, prenatal screening
Dartmouth-Hitchcock Medical Center (DHMC) is comprised of physicians, specialists and other providers working together at different locations to meet the health care needs of patients in northern New England. The Center for Shared Decision Making (CSDM) at DHMC, opened its doors in 1999 as the first center in the U.S. to be dedicated to shared decision making, and became a Foundation funded primary and specialty care demonstration site at that time. True pioneers in the shared decision making arena, DHMC continues to perfect the process of providing access to decision aids and decision support to patients as a routine process of care.