Toward the 'tipping point': decision aids and informed patient choice.
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.
O'Connor
Annette M
AM
School of Nursing and Department of Epidemiology and Community Medicine, University of Ottawa. aoconnor@ohri.ca
Wennberg
John E
JE
Legare
France
F
Llewellyn-Thomas
Hilary A
HA
Moulton
Benjamin W
BW
Sepucha
Karen R
KR
Sodano
Andrea G
AG
King
Jaime S
JS
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