نتایج جستجو برای: shared decision making
تعداد نتایج: 635772 فیلتر نتایج به سال:
BACKGROUND Given the large number of interventions of uncertain effectiveness, research on communicating uncertainty is needed to examine its impact on patients' health decisions. OBJECTIVE To examine physicians' communication of uncertainty and its impact on patients' decisions and decision satisfaction. DESIGN, SETTING, AND PARTICIPANTS Participants included female patients seen in a brea...
Kidney Disease: Improving Global Outcomes (KDIGO) engaged an evidence review team and convened a work group to produce a guideline to evaluate and manage candidates for living kidney donation. The evidence for most guideline recommendations is sparse and many "ungraded" expert consensus recommendations were made to guide the donor candidate evaluation and care before, during, and after donation...
For centuries, physicians have been allowed to interfere and overrule patient's preferences with the aim of securing patient benefit or preventing harm. With the radical rise in emphasis on individual control and freedom, medical paternalism no longer receives unquestioned acceptance by society as the dominant mode for decision-making in health care. But neither is a decision-making approach ba...
OBJECTIVE Making surrogate decisions on behalf of incapacitated patients can raise difficult questions for relatives, physicians, and society. Previous research has focused on the accuracy of surrogate decisions (i.e., the proportion of correctly inferred preferences). Less attention has been paid to the procedural satisfaction that patients' surrogates and patients attribute to specific approa...
Mobile health (mHealth) applications intended to support shared decision making in diagnostic and treatment decisions are increasingly available. In this paper, we discuss some recent studies on mHealth applications with relevance to shared decision making. We discuss the potential advantages and disadvantages of using mHealth in shared decision making in various contexts, and suggest some dire...
OBJECTIVE We investigated the relationship between financial literacy and patient engagement while considering the possible interaction effects due to patient financial responsibility and patient-physician shared decision making, and the impact of personal attributes. METHODS Participants consisted of an Internet-based sample of American adults (N = 160). Hierarchical multiple linear regressi...
A concept we call Total Uncertainty will be used to illustrate how we combine both aleatoric (reducible) and epistemic (non-reducible) uncertainties in a given problem to assess the confidence an analyst can have in his/her decisions. In illustrating the utility of our concept of total uncertainty we hypothesize that all uncertainty, including our metric of TU, should scale between two extreme ...
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