title: Toward the 'tipping point': decision aids and informed patient choice.
abstract: Preference-sensitive treatment decisions involve making value trade-offs between benefits and harms that should depend on informed patient choice. There is strong evidence that patient decision aids not only improve decision quality but also prevent the overuse of options that informed patients do not value. This paper discusses progress in implementing decision aids and the policy prospects for reaching a "tipping point" in the adoption of "informed patient choice" as a standard of practice.
authors.affiliation: School of Nursing and Department of Epidemiology and Community Medicine, University of Ottawa. aoconnor@ohri.ca
authors.forename: Annette M
authors.initials: AM
authors.lastname: O'Connor
authors.forename: John E
authors.initials: JE
authors.lastname: Wennberg
authors.forename: France
authors.initials: F
authors.lastname: Legare
authors.forename: Hilary A
authors.initials: HA
authors.lastname: Llewellyn-Thomas
authors.forename: Benjamin W
authors.initials: BW
authors.lastname: Moulton
authors.forename: Karen R
authors.initials: KR
authors.lastname: Sepucha
authors.forename: Andrea G
authors.initials: AG
authors.lastname: Sodano
authors.forename: Jaime S
authors.initials: JS
authors.lastname: King
mesh_terms: D002568:Certification / Q000379:methods; D003657:Decision Making; D003661:Decision Support Techniques; D005544:Forecasting; D006801:Humans; D007258:Informed Consent; D008962:Models, Theoretical; D010358:Patient Participation / Q000379:methods* / Q000639:trends*; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D014481:United States