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.
As many of our colleagues are spread across the country, our summer meeting is an opportunity for the many individuals who work on behalf of the Foundation to gather and reflect on what everyone has accomplished in the previous year and to get energized about upcoming projects. We were honored to have Otis Brawley, chief medical and scientific officer and executive vice president of the American Cancer Society, as well as the author of “How We Do Harm: A Doctor Breaks Ranks about Being Sick in America” as our keynote speaker this year. In addition to our keynote presentation, we had a stellar lineup of interactive and thought provoking sessions on Foundation-supported projects from staff, medical editors and esteemed guests.
Decision aids to assist patients in deciding about health care have been welcomed as one solution for improving doctor-patient communication, providing information for patients, and addressing the shortcomings in much of the information available. Both patient outcomes and the rational use of health service resources may be improved by better provision of information.
The rationale for decision aids is addressed in the accompanying paper. Unlike hormone replacement therapy, prostate surgery is a "Rubicon" procedure -- that is, once undertaken it cannot be reversed. In the United States, a pilot study on the impact of a programme to aid in decisions about benign prostatic hyperplasia showed a 40% decrease in surgery rates. This finding was not replicated in a subsequent randomised controlled trial.
Tagged Angela Coulter, benign prostatic hyperplasia, BMJ, BPH, decision aids, decision making, men, multimedia, primary care, prostatectomy, Shared Decision-Making® programs, treatment decisions
A member of Lakeview Health System, Stillwater Medical Group is a multi-specialty group practice serving Minnesota’s beautiful St. Croix Valley and western Wisconsin. Stillwater Medical Group seeks to provide patient-centered and compassionate care to the tens of thousands of patients the group encounters every year. With the goal of system-wide implementation of shared decision making for a wide variety of conditions, Stillwater Medical Group became a Foundation funded demonstration site in 2009. Stillwater Medical Group is guided by the needs of the patient as they work to create patient-provider partnerships that are effective and personal. Health care providers guide patients in shared decision making to help align treatment options with what is most important to patients.
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.
Many men face decisions about treatments for an enlarged prostate and the treatment options may cause much confusion. To help men understand their options, the Foundation has developed a Shared Decision-Making® Program called Treatment Choices for Benign Prostatic Hyperplasia.
Heart disease can be a scary diagnosis. Luckily there are many treatments available for coronary artery disease to help improve symptoms and prevent heart attacks. To help people decide which treatment is right for them, the Foundation has developed a Shared Decision-Making® program called Treatment Choices for Coronary Artery Disease.