Affiliation:
1. Massachusetts General Hospital
Abstract
There is considerable evidence, across different clinical contexts, that treatment decisions are characterized by poor communication, significant knowledge gaps, and a lack of attention to patients' preferences for different health states. Over the past two decades, patient decision aids have been shown to be an effective means to improve the quality of decisions. More recently, the Internet has increased expectations about the impact of information and decision aids on the involvement of patients in decisions. However, there are several challenges to effective dissemination and implementation of decision support interventions, through the Internet or other media. The authors recommend specific policy and research initiatives to facilitate the local and system-level changes necessary to support patients more effectively in making treatment choices. More attention to measurement and policy-level interventions will be required to increase the use of proven tools and to achieve significant improvements in the quality of treatment decisions.
Reference93 articles.
1. Alexander, S.C., Peterson, J.L. & Hollingshead, A.B. (2003). Help is at your keyboard: Support groups on the Internet. In L. R. Frey (Ed.), Group communication in context: Studies of bona fide groups (pp. 309-334). Mahwah, NJ: Lawrence Erlbaum.
2. Involvement in decision-making and breast cancer survivor quality of life
3. Interacting with cancer patients: the significance of physicians’ communication behavior
4. Patient Preferences for Medical Decision Making
5. Ashcroft, R., Hope, T. & Parker, M. (2001). Ethical issues and evidence-based patient choice . In G. A. E. Elwyn (Ed.), Evidence based patient care (pp. 53-65). Oxford, UK: Oxford University Press.
Cited by
56 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献