This June, members of the Informed Medical Decisions Foundation learning collaborative of shared decision making (SDM) demonstration sites gathered in Boston to meet and share their successes and challenges in implementation. The collaborative, which was formed three years ago, represents a diverse community of both large academic medical centers and private practices throughout the country who are implementing SDM into routine practice using our Shared Decision-Making® program decision aids.
Charlie is a family care physician and shared decision making champion at Mercy Clinics, Inc. in Des Moines, IA. Mercy Clinics is also an Informed Medical Decisions Foundation demonstration site. His decision to join Mercy Clinics was influenced in large part by their history of innovation in patient-centered care and the use of health coaches. He has been involved in both inpatient and outpatient quality assurance projects a, and enjoys the challenges of implementing their ideas in the real-world setting. He remains a full-time practitioner focused on delivering high-quality individualized care with an emphasis on patient education. When he is not working he is devoted to his wonderful family, and enjoys photography, reading and whitewater rafting when the time allows.
The UK government has stated it wants the public to help shape the future of the health service. In the run-up to the planned publication of a white paper on care outside hospitals, Patricia Hewitt, secretary of state for health in England, is leading a big public engagement exercise to "genuinely involve patients, public and staff in designing family health and social care to meet the challenges of the 21st century. The secretary of state's commitment to engaging directly with the public is commendable if it is a genuine attempt to listen and learn, but she should also take account of the extensive body of research evidence on what patients and the public want. Patients have diverse needs and expectations leading to different, and sometimes conflicting, views on priorities, but it is possible to discern themes. What does the evidence show?
Health systems throughout the world are searching for ways of making their services more responsive to patients and the public. The WHO has been encouraging this by including indicators of responsiveness in its World Health Reports. Many European governments have recognized that the future of socialized health care services depends on their ability to keep abreast of changing needs and respond to these in an appropriate way in order to sustain public confidence. Regular surveys of the views and experiences of patients and the public are beginning to be seen as an indispensable addition to the panoply of performance indicators used for monitoring the effectiveness of health policy. We report here a survey of random population samples in eight European countries focusing on public views of the quality of doctor-patient communications and opportunities for involvement in choice of providers and treatments.
Posted in Health Care Policy, Patient Involvement, SDM Implementation
Tagged Angela Coulter, choice of provider, decision making, doctor-patient communication, health care, health care systems, patients, primary care, shared decision making, treatment decisions, World Health Organization
Our primary aim is to explore the barriers and facilitators influencing primary healthcare interdisciplinary teams' use of decision boxes in clinical practice.
The overall goal of this study is to evaluate the effects of patient decision aids (pDAs) on improving decision quality and reducing length of surgical consults for TJA, and their cost-effectiveness.
Posted in Cost, Decision Aid Effectiveness, Decision Quality, Health Care Policy, Investigator-Initiated Grants, Investigator-Initiated Research, Patient Decision Aids, Patient Knowledge, Patient Preferences, SDM Implementation
Tagged decision aids, joint replacement, primary care