… discussing the poor quality of shared decision-making that takes place around prostate cancer issues. The DECISIONS survey found that “most prostate cancer screening decisions did not meet criteria for shared decision making because subjects did not receive balanced discussions of decision consequences, had limited knowledge, and were not routinely asked for their preferences.” Dr. Len Lichtenfeld of the American Cancer Society wrot…
Glyn Elwyn of Cardiff University, along with a team of colleagues, has a paper in the current Journal of Medical Internet Research about their attempt to examine men’s use of an online decision aid for prostate cancer screening. They conclude: “There is evidence that Prosdex (the decision aid) promotes informed decision making in men, and we highlight factors that should inform the future design of decision aids. First, for the popu…
…tionally. Disclosure: I know this topic fairly well because I worked at Dartmouth throughout the 90s, right down the hall from many of these Atlas researchers. I was an employee of the Foundation for Informed Medical Decision Making and I produced some of the early decision aids in the Foundation’s library. My work is currently supported by that same Foundation, one of whose co-founders was Dr. Jack Wennberg of Dartmouth, whose work was the…
With effective graphics and story-telling techniques, Jeff Baillon of KSMP-TV, Minneapolis, reported a solid summary of recent data on variations in health care in the state of Minnesota and how the concept of shared decision-making is being applied to address the issue. Lesson for other TV journalists: it is possible to tackle what some in your newsroom might view as dull, wonkish, health care issues – even within the constraints of local…
A Kansas City television station produced a good package on local variations in health care practice, and how one medical center is addressing variation by employing shared decision-making. It’s good to see local TV news tackle issues such as this. Worth a look. …
Dr. Jack Wennberg, founding director of the Dartmouth Institute for Health Policy and Clinical Practice, was interviewed on Bloomberg Television’s “Street Smart” program, addressing a range of health care reform issues, including the role of shared decision-making. …
…17;t make sense.” The Boston Globe covers the controversy today. But absent in any of the online reactions I’ve read to the Cochrane statins review is any discussion of what an important moment this is for shared decision-making. This is exactly the kind of issue that demands a deep discussion between patient and physician, and a clear communication of what’s known and isn’t known about the tradeoffs of benefits and harm…
aids, and is now distributing at the rate of about 900 more each month. It should also be noted that 5 years ago, Washington passed the first state legislation recognizing the use of patient decision aids and “shared decision making” as a higher standard of informed consent. The study was funded by the Commonwealth Fund. The implementation of decision aids was funded in part by the Informed Medical Decisions Foundation, which has been the sole su…
ve health insurance through Medicare, they should be discouraged from participating in community-based screening programs, and should be referred to a primary care provider.” The Foundation for Informed Medical Decision Making (disclosure: they support this HealthNewsReview.org project) posted a video clip with its president, Dr. Michael Barry, reinforcing the shared decision-making message. For now, the Foundation’s shared decisi…
WASHINGTON, Feb. 5 –The Milwaukee Journal Sentinel is the first news organization to receive an award for Excellence in Health Journalism from the Boston-based Foundation for Informed Medical Decision Making. The Foundation, which presented the award yesterday at its Research and Policy Forum in Washington DC, chose the Milwaukee newspaper because of its consistently high ratings by HealthNewsReview.org. That web-based project, funded by …
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