BACKGROUND Despite growing recognition that shared decision making (SDM) is central for patient-centred primary care, adoption by physicians remains limited in routine practice. OBJECTIVE To examine the characteristics of physicians, patients and consultations associated with primary care physicians' SDM behaviours during routine care. METHODS A multicentre cross-sectional survey study was ...

Shared decisionmaking (SDM) has been promoted for improving patientcentered care, specifically ensuring that decisions are made after careful consideration of the pros and cons of options, patients’ underlying values and preferences, and patients are actively involved in shared conversations with their clinicians.1–3 Despite international support for the concept of SDM, challenges to achieving ...

Chronic diseases are the major cause of death and disability worldwide. Healthcare systems are reforming themselves to improve the health of people with, or at risk of developing, chronic diseases. One of the major goals of these health reforms is to provide both selfmanagement support and decision support to patients so that they become involved and informed [1]. “Shared decision making” (SDM)...

Transformations are a key technology in model driven software engineering since they are used to implement refinements for platform independence, restructurings for software migration and weavings for aspect composition. By considering transformations as models, one can develop transformations in the same paradigm as conventional applications. In this paper, we illustrate how Fujaba’s language ...

The capacity benefits of flexi-grid optical networks are limited by the finite amount of bandwidth of standard fibers, and will not be able to scale indefinitely. Space Division Multiplexing (SDM) has emerged as a promising technology to overcome this limitation. In this preliminary work we give an overview of current SDM technologies, covering coupled and non-coupled SDM networks, and of the p...

Time-domain quantization (TDQ) and noise shaping applied to linear frequency modulation (LFM) offers an alternative although unconventional means of generating uniformly sampled 1-bit code with characteristics similar to that generated by feedback sigma–delta modulation (SDM). Fundamental insight into the SDM process emerges by exploiting the relationship between uniform quantization and phase ...

Shared decision-making (SDM) promotes family and clinician collaboration, with ultimate goals of improved health and satisfaction. This clinical report provides a basis for a systematic approach to the implementation of SDM by clinicians for children with disabilities. Often in the discussion of treatment plans, there are gaps between the child's/family's values, priorities, and understanding o...