Confronting evidence: individualised care and the case for shared decision-making.

Hdl Handle:
http://hdl.handle.net/10147/559245
Title:
Confronting evidence: individualised care and the case for shared decision-making.
Authors:
Ryan, P; Vaughan, D
Citation:
Confronting evidence: individualised care and the case for shared decision-making., 107 (10):331-2 Ir Med J
Publisher:
Irish Medical Journal
Journal:
Irish medical journal
Issue Date:
Nov-2014
URI:
http://hdl.handle.net/10147/559245
PubMed ID:
25551904
Abstract:
In many clinical scenarios there exists more than one clinically appropriate intervention strategy. When these involve subjective trade-offs between potential benefits and harms, patients' preferences should inform decision-making. Shared decision-making is a collaborative process, where clinician and patient reconcile the best available evidence with respect for patients' individualized care preferences. In practice, clinicians may be poorly equipped to participate in this process. Shared decision-making is applicable to many conditions including stable coronary artery disease, end-of-life care, and numerous small decisions in chronic disease management. There is evidence of more clinically appropriate care patterns, improved patient understanding and sense of empowerment. Many trials reported a 20% reduction in major surgery in favour of conservative treatment, although demand tends to increase for some interventions. The generalizability of international evidence to Ireland is unclear. Considering the potential benefits, there is a case for implementing and evaluating shared decision-making pilot projects in Ireland.
Item Type:
Article
Language:
en
Description:
In many clinical scenarios there exists more than one clinically appropriate intervention strategy. When these involve subjective trade-offs between potential benefits and harms, patientsâ preferences should inform decision-making. Shared decision-making is a collaborative process, where clinician and patient reconcile the best available evidence with respect for patientsâ individualized care preferences. In practice, clinicians may be poorly equipped to participate in this process. Shared decision-making is applicable to many conditions including stable coronary artery disease, end-of-life care, and numerous small decisions in chronic disease management. There is evidence of more clinically appropriate care patterns, improved patient understanding and sense of empowerment. Many trials reported a 20% reduction in major surgery in favour of conservative treatment, although demand tends to increase for some interventions. The generalizability of international evidence to Ireland is unclear. Considering the potential benefits, there is a case for implementing and evaluating shared decision-making pilot projects in Ireland.
Keywords:
EVIDENCE BASED CARE; DECISION MAKING
MeSH:
Decision Making; Disease Management; Female; Humans; Male; Patient Participation; Physician-Patient Relations
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorRyan, Pen
dc.contributor.authorVaughan, Den
dc.date.accessioned2015-07-08T14:02:28Zen
dc.date.available2015-07-08T14:02:28Zen
dc.date.issued2014-11en
dc.identifier.citationConfronting evidence: individualised care and the case for shared decision-making., 107 (10):331-2 Ir Med Jen
dc.identifier.issn0332-3102en
dc.identifier.pmid25551904en
dc.identifier.urihttp://hdl.handle.net/10147/559245en
dc.descriptionIn many clinical scenarios there exists more than one clinically appropriate intervention strategy. When these involve subjective trade-offs between potential benefits and harms, patientsâ preferences should inform decision-making. Shared decision-making is a collaborative process, where clinician and patient reconcile the best available evidence with respect for patientsâ individualized care preferences. In practice, clinicians may be poorly equipped to participate in this process. Shared decision-making is applicable to many conditions including stable coronary artery disease, end-of-life care, and numerous small decisions in chronic disease management. There is evidence of more clinically appropriate care patterns, improved patient understanding and sense of empowerment. Many trials reported a 20% reduction in major surgery in favour of conservative treatment, although demand tends to increase for some interventions. The generalizability of international evidence to Ireland is unclear. Considering the potential benefits, there is a case for implementing and evaluating shared decision-making pilot projects in Ireland.en
dc.description.abstractIn many clinical scenarios there exists more than one clinically appropriate intervention strategy. When these involve subjective trade-offs between potential benefits and harms, patients' preferences should inform decision-making. Shared decision-making is a collaborative process, where clinician and patient reconcile the best available evidence with respect for patients' individualized care preferences. In practice, clinicians may be poorly equipped to participate in this process. Shared decision-making is applicable to many conditions including stable coronary artery disease, end-of-life care, and numerous small decisions in chronic disease management. There is evidence of more clinically appropriate care patterns, improved patient understanding and sense of empowerment. Many trials reported a 20% reduction in major surgery in favour of conservative treatment, although demand tends to increase for some interventions. The generalizability of international evidence to Ireland is unclear. Considering the potential benefits, there is a case for implementing and evaluating shared decision-making pilot projects in Ireland.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.rightsArchived with thanks to Irish medical journalen
dc.subjectEVIDENCE BASED CAREen
dc.subjectDECISION MAKINGen
dc.subject.meshDecision Makingen
dc.subject.meshDisease Managementen
dc.subject.meshFemaleen
dc.subject.meshHumansen
dc.subject.meshMaleen
dc.subject.meshPatient Participationen
dc.subject.meshPhysician-Patient Relationsen
dc.titleConfronting evidence: individualised care and the case for shared decision-making.en
dc.typeArticleen
dc.identifier.journalIrish medical journalen

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