…k Force, which found that PSA testing does not offer a mortality benefit. Here’s the link for those who are interested: http://www.nytimes.com/2011/10/09/magazine/can-cancer-ever-be-ignored.html?pagewanted=all Shared decision making is not about getting the patient to do what the doctor wants him to do, which judging from Kenny’s blog he thinks it is (and his opinion about the PSA test is, understandably, “Just don’t do it!” ). Telling patients w…
…attacked.” In response to that story, respected patient advocate Musa Mayer left an online comment: “As a patient rep for (the FDA’s Oncologic Drugs Advisory Committee), I too have been publicly reviled for making evidence-based decisions that I felt would benefit the larger population of patients. It seems we’re expected to think only of immediate needs, and not public health consequences, or even of those not present wh…
w attention to shared decision-making. The NEJM paper was submitted by a team from Health Dialog Services in Boston, with Dr. David Wennberg as its lead author. (Disclosure: The Foundation for Informed Medical Decision Making, which supports my HealthNewsReview.org project, derives much of its funding from a partnership with Health Dialog. In collaboration with Health Dialog, the Foundation produces patient decision aids to support a shar…
Jessie Gruman is president of the Center for Advancing Health but she’s also faced four different cancer diagnoses. Today she writes here “Valentine to Shared Decision Making.” I encourage you to read the full piece, but here’s an excerpt: As an advocate for policies that support people’s engagement in their health care and a veteran of a few serious illnesses, I support this approach. But I am also currently a can…
rea. Instead, he said, preference-sensitive care, including bariatric surgery, should reflect the preferences of individual patients. For that to happen, it helps for patients to go through a process of “shared decision making” with their doctors, said Dr. Arterburn. In shared decision making, each doctor shares with their patient all relevant information on the possible risks and benefits of detection and treatment options for a heal…
The journal Arthritis Care & Research has accepted for future publication – and posted online (for subscribers) – an unedited paper, “Preceding the Procedure: Medical Devices and Shared Decision-Making.” The paper builds on a hypothetical example of a man in his 50s with hip arthritis who is facing a decision about total hip replacement. Excerpts: “(The surgeon – Dr. Jones) reviews the procedure with hi…
ion from patients about the decisions they are facing, their health status, what theyknow, and what they care about. Finally, we need to collect systematic data from patients about decision quality and the process of decision making to which they are exposed. All of these elements–the tools and surveys–are currently in routine use in select organizations. Now, we need a commitment to putting these elements in place on a widespread bas…
stents “a lot” or “some”, few (19%) reported talking about the cons. Only 16% said they were asked about their treatment preferences. Conclusions: While prostate cancer surgery patients reported more involvement in decision making than elective stent patients, the reports of both groups document the need for increased efforts to inform and involve patients facing preference-sensitive intervention decisions. Discussion: One possible reason for…
For the second straight year, I’ve published a post in the Health Literacy Month blog series hosted by a company called Emmi Solutions. Shared decision-making was their focus this year, and my entry was entitled, “What is the Impact on Shared Decision Making of the Daily Tsunami of Health News?” ——————————— Every day for the past 6.5 years, I’ve worked with a tea…
We are preparing to review four stories on the new Swedish mammography study. We hope to post those reviews within a few days. Why does it take so long? Our reviewers do not work on this project fulltime and we will have three reviewers evaluate each story. That takes time. We hope you think it’s worth the wait. At the same time, I want to draw attention to a new issue of the journal Medical Decision Making that features several stud…
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