Use of decision and communication aids in orthopaedic surgery

"Decision and communication aids can be effective tools for incorporating patients preferences and values into preference-sensitive decisions in orthopaedics."

Patient, surgeon, and healthcare purchaser views on the use of decision and communication aids in orthopaedic surgery: a mixed methods study
KJ Bozic, et al.
BMC Health Services Research, 2014, 14:366

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A meta-analysis of how clinicians use decision aids during clinical encounters

"Clinicians' fidelity to usage instructions of point-of-care decision aids in randomized trials was suboptimal during their initial implementation in practice, which may have underestimated the potential efficacy of decision aids when used as intended."

Peering into the black box: a meta-analysis of how clinicians use decision aids during clinal encounters
KD Wyatt, ME Branda, RT Anderson, LJ Pencille, VM Montori, EP Hess, HH Ting, A LeBlanc
Implementation Science, 2014, 9:26

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Barriers and facilitators to implement shared decision making in multidisciplinary sciatica care

This paper identified new barriers and facilitators for shared decision-making in the multidisciplinary care of sciatica and proposes that an effective implementation of SDM in a multidisciplinary setting should focus on these.

Barriers and facilitators to implement shared decision making in multidisciplinary sciatica care: a qualitative study
SN Hofstede, PJ de Mheen, MM Wentink, AM Stiggelbout, CLA Vleggeert-Lankamp, TPM Vlieland, L van Bodegom-Vos
Implementation Science, 2013, 8:95

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Shared decision making does not influence physicians against clinical practice guidelines

"Intention to adopt shared decision making regarding the use of antibiotics to treat acute respiratory tract infections does not negatively influence physicians’ intention to use clinical practice guideline recommendations in the same clinical context, including after exposure to a training program in shared decision making."

Shared decision making does not influence physicians against clinical practice guidelines
M Guerrier, F Legare, S Turcotte, M Labrecque, LP Rivest
PLoS ONE, 2013, 8(4):e62537

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Shared decision making to improve care and reduce costs

"A 2011 Cochrane Collaborative review of 86 studies showed that as compared with patients who received usual care, those who used decision aids had increased knowledge, more accurate risk perceptions, reduced internal conflict about decisions, and a greater likelihood of receiving care aligned with their values."

Shared decision making to improve care and reduce costs
E Oshima Lee, EJ Emanuel
New England Journal of Medicine, 2013, 368(1):6-8

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Decision boxes for clinicians to support evidence-based practice and shared decision making

"Decision Boxes aim to prepare the clinician to communicate the risks and benefits of the available options to the patient so they can make an informed decision together."

Decision boxes for clinicians to support evidence-based practice and shared decision making: the user experience
A Giguere, et al.
Implementation Science, 2012, 7:72

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Shared decision making - the pinnacle of patient-centred care

"If we can view the health care experience through the patient's eyes, we will become more responsive to patients' needs and, thereby, better clinicians."

Shared decision making - the pinnacle of patient-centred care
MJ Barry, S Edgman-Levitan
New England Journal of Medicine, 2012, 366:780-781

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Leading the way to shared decision making

"The critical steps for the NHS Commissioning Board to make 'no decision about me, without me' a reality."

Leading the way to shared decision making: summit report
The Health Foundation
February 2012

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Making shared decision-making a reality

"This report clarifies the concept of shared decision-making and outlines the actions needed to make the aspiration a reality."

Making shared decision-making a reality: no decision about me, without me
A Coulter, A Collins
The King's Fund
July 2011

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Building new relationships between people with long-term conditions and a supportive health service

"Co-creating Health is the Health Foundation’s improvement programme that helps people with long term conditions take control of their health and supports them to self manage."

Snapshot: co-creating health: building new relationships between people with long-term conditions and a supportive health service
The Health Foundation
April 2011

Read more here.

The Health Foundation

In the past year, The Health Foundation has published a number of relevant papers:

• Engaging communities for health improvement
• How do you get clinicians involved in quality improvement
• Implementing shared decision making in the UK
• Quality improvement made simple
• Snapshot: patient safety