Any outsider listening to the phone conversation that occurred this summer between Kelly Taylor, director of quality improvement at Mercy Clinics, Inc. in Des Moines, Iowa and Jane Price, the lead nurse for patient experience at Aneurin Bevan Health Board in Gwent, Wales, would have though they were listening to old friends exchanging stories about a shared history of palliative care nursing. Although they had never met in person, this first conversation between the two was a seamless hour long exchange of personal anecdotes, lessons learned from their work, and hope for the future of health care for those suffering from terminal disease.
This short book outlines the importance of strong communication skills and illustrates how health care providers might using shared decision making in their consultations with patients. Inspired by Secretary of State for Health, Andrew Lansley's phrase "nothing about me, without me," the authors aim to expand on the meaning of Lansley's vision. The authors define the term "shared decision making", provide examples of skills necessary to implement this process and outline actions necessary to make this vision a reality.
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.
Posted in Health Care Policy, Patient Involvement, SDM Implementation
Tagged Angela Coulter, decision making, evidence-based medicine, Glyn Elwyn, NHS, patient autonomy, patient engagement, patients, shared decision making
In order to make informed medical decisions, patients need to understand information about risks, benefits and drawbacks of different treatments. However, research on health literacy and medical decision making has shown that patients in different cultures have severe problems grasping a host of numerical concepts that are prerequisites for understanding health-relevant statistical information. Graphical displays -- including line plots, bar charts or icon arrays -- often facilitate the communication of numerical information, and can help overcome some of these difficulties.
Posted in George Bennett Grants, Literacy and Numeracy, Risk Communication
Tagged data displays, graphic comprehension, graphical displays, health care, health literacy, informed decision making, low graph literacy, medical decisions, patients, shared decision making