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Shared Decision Making

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For more information on the Group Health shared decision making initiative and innovations like this, please go to www.ghinnovates.org.

Publicada em: Saúde e medicina, Educação
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Shared Decision Making

  1. 1. Shared Decision Making Helping patient with choices in preference-sensitive careMonth Day, 2010 | Presenter’s Name
  2. 2. What is shared decision making? Doctors share information Together they make a decision Patients consider options
  3. 3. When is shared decision makingmost useful? More than one treatment “Preference option sensitive” conditions Little evidence for one choice over another
  4. 4. What are decision aids? Brochures, DVDs, web tools
  5. 5. What are the characteristics ofdecision aids? Evidence-based, frequently updated, Help patients balanced clarify values & preferences Guide patients in communication with doctors
  6. 6. Evidence for using decision aids
  7. 7. Decision aids at Group Health
  8. 8. Research System-wide implementation 2-year research project Foundation support
  9. 9. Patient-centered care at Group HealthImplementationtimeline 2009 2007 2005
  10. 10. Treatment choices in 6 specialty areas 1 2 3 4 5 6
  11. 11. 12 preference-sensitive conditions 1. Hip 1. Coronary 1. Benign osteoarthritis artery prostatic 2. Knee disease hyperplasia osteoarthritis 2. Prostate cancer 1. Uterine 1. Early stage 1. Spinal fibroids 2. Ductal stenosis 2. Abnormal carcinoma 2. Herniated uterine in situ disc bleeding 3. Breast reconstruction
  12. 12. Distributing decision aids DVDs can be ordered for mailing or viewed on the Web
  13. 13. What are we learningabout use of decision aidsat Group Health?
  14. 14. Evaluation
  15. 15. Decision aid distribution Number of videos distributed, by month Total: 4,271
  16. 16. Patient assessmentOverall rating of decision aid videosPatient survey, March 2010, 400 responses Helped you understand the Helped you prepare to treatment choices talk with provider
  17. 17. Patient assessmentOverall rating of decision aid videosPatient survey, March 2010, 400 responses How important is it that providers make programs like this available?
  18. 18. Patient assessmentRating ofdecision aidvideos,by topicMarch 2010
  19. 19. Questions?

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