A Qualitative Evaluation of the Use of Video-based Decision Aids in Primary Care

Medical care delivery has evolved from a paternalistic model to one of shared decisions and shared responsibility. This concept of partnership is fundamental to the model of the Patient-centered Medical Home (PCMH). In practice, implementing this shift is often problematic given constraints of both time and attitude. Tools available to foster the practice of shared decision making include decision aids (DAs). The PCMH model is central to current efforts to shape primary care, and it is the environment most evident to incorporate shared decision making. DAs are not widely used in primary care despite evidence of their effectiveness.