Search Results for "shared decision-making"
A 15-year retrospective on a shared decision-making encounter, a lawsuit, and not winning
I didn’t see any news coverage of Dr. Dan Merenstein’s article in JAMA Internal Medicine last week, “PSA Screening — I Finally Won!” Maybe there was some reporting but I missed it. But if there wasn’t any news coverage, maybe that’s understandable. It was “just” a perspective piece. It’s based on old news – a […]
2 2/7/2014New cholesterol guidelines present need for shared decision-making
Dr. Victor Montori and two Mayo Clinic colleagues published a perspective piece in JAMA this week, “Patient-Centered and Practical Application of New High Cholesterol Guidelines to Prevent Cardiovascular Disease.” In it, they discuss the new American College of Cardiology/American Heart Association (ACC/AHA) guidelines for assessing cardiovascular disease and for treatment of blood cholesterol to reduce […]
7/11/2013Shared decision-making for prostate cancer screening? Fuhgeddaboudit!
The news, unfortunately, is that there’s nothing new here. “Shared decision-making uncommon for PSA tests,” Reuters Health reports. Excerpts: “Most men have not discussed the potential advantages and disadvantages of prostate cancer screening with their doctor, according to a new study. Guidelines from groups including the American Urological Association and American College of Physicians call […]
6/12/2013Giving talks at ISDM 2013 (Peru) and at WCSJ 2013 (Helsinki): crossover of health care journalism & shared decision-making
This site will be on hold for the month of June because of other commitments. I will deliver one of the keynote talks at the International Shared Decision Making conference in Lima, Peru. Dr. Victor Montori of the Mayo Clinic invited me. Ironically, we will meet in Lima for the first time, even though we […]
5/28/20135 shared decision-making articles in JAMA Internal Medicine receive little attention
“Patient communication has room to grow,” reported Reuters Health. And so does journalism about shared decision-making or patient-centered care – subject of four papers and an editorial in this week’s JAMA Internal Medicine. How Patient Centered Are Medical Decisions? Results of a National Survey “Respondents reported much more discussion of the pros than the cons […]
10/18/2012Medical devices and shared decision-making: Daisy chains of decades of device approval without rigorous assessment
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: […]
10/1/2012Two pieces on related themes of geographic variations in health care on need for shared decision-making
Shannon Brownlee and Joe Colucci write in The Atlantic, “The Cost of Assuming Doctors Know Best” – “patient decision aids are powerful quality-improving, cost-cutting tools — but change is stalled by bad financial incentives.” And, on Ezra Klein’s Wonkblog for the Washington Post, Sarah Kliff writes, “Will your doctor prescribe antibiotics? Depends on where you […]
3/7/2012Important shared decision-making questions on knee replacement surgery
MedPage Today (and a few others) report on an important article in The Lancet on knee replacement and how “Because replacement is increasingly considered for patients younger than 55 years, improved decision making about whether a patient should undergo the procedure is needed.” MedPage Today reports that long-term data on knee replacement is inadequate in […]
3/5/2012Data on shared decision-making in prostate cancer surgery & coronary stents decisions
A team from Dartmouth and the Informed Medical Decisions Foundation* published a paper in the Journal of General Internal Medicine, “Decision-Making Process Reported by Medicare Patients Who Had Coronary Artery Stenting or Surgery for Prostate Cancer.” It describes a survey of Medicare patients who had surgery for prostate cancer or stents put in place for […]
11/2/2011KC TV station report on variations & shared decision-making
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.
9/1/2011Search for civility, shared decision-making in screening/health care discussions
In a comment left on my blog, Jamie Bearse, the chief operating officer of Project Zero – The Project to End Prostate Cancer, showed how quickly and deeply discussions about screening tests can devolve into ugly rhetoric. Bearse wrote: “Your comments along with Otis Brawley’s vendetta against the PSA sentence men to die from prostate […]
6/17/2011Telling the story of variations in health care and shared decision-making in a TV news story
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 […]
4/7/2011Study shows value of shared decision-making video aid for bariatric surgery
Two of our HealthNewsReview.org medical editors, David Arterburn of Group Health Cooperative in Seattle, and Karen Sepucha of the Massachusetts General Hospital, were among the authors of a paper in the research journal, Obesity, entitled, “Randomized Trial of a Video-Based Patient Decision Aid for Bariatric Surgery.” Arterburn generally reviews stories on obesity and weight loss […]
3/3/2011Jack Wennberg on Bloomberg TV – shared decision-making in health care reform
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.
1/24/2011Cochrane Review questioning statins = another shared decision-making moment
A Cochrane Review published last week raises questions about the strength of the evidence for statin drugs to prevent heart problems in people at low risk. The summary states: “Previous reviews of the effects of statins have highlighted their benefits in people with coronary artery disease. The case for primary prevention, however, is less clear.…This […]
