Promoting decision aid use in primary care using a staff member for delivery

Exploring differences in the use of the statin choice decision aid and diabetes medication choice decision aid in primary care

BACKGROUND Shared decision making is essential to patient centered care, but can be difficult for busy clinicians to implement into practice. Tools have been developed to aid in shared decision making and embedded in electronic medical records (EMRs) to facilitate use. This study was undertaken to explore the patterns of use and barriers and facilitators to use of two decision aids, the Statin ...

Opportunities for the use of decision aids in primary care.

BACKGROUND AND OBJECTIVES Shared decision making (SDM) is part of a larger movement for patient-centered approaches to care. SDM can be facilitated through the use of decision aids (DA), which are evidence-based tools designed to transmit information on topics suitable for SDM. They are intended to facilitate the process of patients arriving at an informed, values-based choice in partnership wi...

Promoting exercise in primary care.

A pre-post study testing a lung cancer screening decision aid in primary care

BACKGROUND The United States Preventive Services Task Force (USPSTF) issued recommendations for older, heavy lifetime smokers to complete annual low-dose computed tomography (LDCT) scans of the chest as screening for lung cancer. The USPSTF recommends and the Centers for Medicare and Medicaid Services require shared decision making using a decision aid for lung cancer screening with annual LDCT...

Multimorbidity, clinical decision making and health care delivery in New Zealand Primary care: a qualitative study

BACKGROUND Multimorbidity is a major issue for primary care. We aimed to explore primary care professionals' accounts of managing multimorbidity and its impact on clinical decision making and regional health care delivery. METHODS Qualitative interviews with 12 General Practitioners and 4 Primary Care Nurses in New Zealand's Otago region. Thematic analysis was conducted using the constant com...