This evening, PBS will air a special investigative report on the dangers of our current medical system. Money & Medicine takes us inside two world-renowned hospitals -- UCLA Medical Center in Los Angeles and Intermountain Medical Center in Utah -- and shares first-hand stories of unnecessary medical spending, as well as effective methods for improving the overall quality of care and reducing costs.
Money & Medicine captures the variations of care from birth to death and paints a powerful picture of our country’s medical crisis. The film also depicts effective strategies currently practiced at UCLA and Intermountain that reduce wasteful medical spending and improve health care quality. These strategies include improving coordination of care, implementing shared decision making and practicing evidence-based medicine.
At the Informed Medical Decisions Foundation we find that the term “shared decision making” means something different to each member of our team. We thought it would be fun to share these varied meanings with you, so we asked our Foundation family to describe shared decision making in just three words. This exercise resulted in a short video with more than 20 unique definitions of shared decision making.
Tagged evidence-based medicine, informed consent, medical decisions, patient empowerment, patient engagement, patient-centered care, patient-provider relationship, patients, preference-sensitive conditions, providers, shared decision making
Policies to promote shared decision making are becoming prominent in the United States, Canada, and United Kingdom. This is partly because of a recognition of the ethical imperative to properly involve patients in decisions about their care and partly because of the acrruing evidence that the approach has benefits. Shared decision making is an approach where clinicians and patients make decisions together using the best available evidence.
Effective maternity care with least harm is optimal for childbearing women and newborns. High-quality systematic reviews of the best available research provide the most trustworthy knowledge about beneficial and harmful effects of maternity practices, yet these valuable resources are grossly underutilized in policy, practice, education, and research in the United States. Practices that are disproved or appropriate for mothers and babies in limited circumstances are in wide use, and beneficial practices are underused.
One of our primary goals at the Informed Medical Decisions Foundation is to strive for balance and fairness when helping patients understand medical decisions. At the core of our organization is the conviction that the best medical decisions are made when patients are well informed and active participants in the decision making process. A balanced presentation gives patients the best chance to work in partnership with their providers and make the decision that will serve them best.
To test a brief consumer-led intervention consisting of three generic “Consumer Questions” designed to encourage doctors to discuss evidence related to treatment options with their patients. They are: 1) “What are my options?” 2) “What are the possible outcomes of those options?”and 3) “How likely is each of the outcomes to occur?”