This commentary article criticizes the current practice in health care to conduct cancer screening without first informing patients about the benefits and harms of screening tests. Stefanek believes that the lack of transparent presentation of data about known harms and benefits has resulted in a bias towards screening and an inflated view of how much the reduction in cancer mortality can be attributed to cancer screening overall. Stefanek proposes that effort should be refocused on educating rather than persuading the public.
Support for a model of shared medical decision making, where women and their care providers discuss risks and benefits of their different options, reveal their preferences, and jointly make a decision, is a growing expectation in obstetric care. The objective of this study was to conduct a systematic review and meta-analysis of randomized controlled trials evaluating the efficacy of different decision aid tools compared to regular care for women facing several option in the specific field of obstetric care. We included published studies about interventions designed to aid mothers' decision making and provide information about obstetrical treatment or screening options.
Posted in Patient Decision Aids, Patient Involvement, Patient Preferences, SDM in Maternity Care, Special Populations
Tagged childbirth, decision aids, decision making, decision support, doctor-patient communication, health education, informed consent, obstetrics, patient-centered care, pregnant women, shared decision making, women
MaineHealth is a nonprofit, integrated health system providing a range of care from prevention and health maintenance through tertiary services, rehabilitation, chronic care and long-term care. The health system serves three quarters of the state’s population. MaineHealth became a Foundation funded demonstration site in 2009 in order to better achieve its goal of achieving excellence in clinical care, patient safety, education and research.