title: Transforming Patient-Centered Care: Development of the Evidence Informed Decision Making through Engagement Model.
abstract: BACKGROUND
  In response to the passage of the Affordable Care Act in the United States, clinicians and researchers are critically evaluating methods to engage patients in implementing evidence-based care to improve health outcomes. However, most models on implementation only target clinicians or health systems as the adopters of evidence. Patients are largely ignored in these models. A new implementation model that captures the complex but important role of patients in the uptake of evidence may be a critical missing link.
  
  
  CONCLUSIONS
  Through a process of theory evaluation and development, we explore patient-centered concepts (patient activation and shared decision making) within an implementation model by mapping qualitative data from an elective induction of labor study to assess the model's ability to capture these key concepts. The process demonstrated that a new, patient-centered model for implementation is needed. In response, the Evidence Informed Decision Making through Engagement Model is presented. We conclude that, by fully integrating women into an implementation model, outcomes that are important to both the clinician and patient will improve.
  
  
  CONCLUSIONS
  In the interest of providing evidence-based care to women during pregnancy and childbirth, it is essential that care is patient centered. The inclusion of concepts discussed in this article has the potential to extend beyond maternity care and influence other clinical areas. Utilizing the newly developed Evidence Informed Decision Making through Engagement Model provides a framework for utilizing evidence and translating it into practice while acknowledging the important role that women have in the process.
authors: Office of Women's Health & Gender Research, U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality, Office of Extramural Research, Education, and Priority Populations, Rockville, Maryland. Electronic address: Moore.JenniferElaine@gmail.com.
authors: Jennifer E
authors: JE
authors: Moore
authors: Department of Health Behavior and Biological Sciences, University of Michigan, School of Nursing, Ann Arbor, Michigan.
authors: Marita G
authors: MG
authors: Titler
authors: Department of Health Behavior and Biological Sciences, University of Michigan, School of Nursing, Ann Arbor, Michigan.
authors: Lisa
authors: L
authors: Kane Low
authors: Obstetrics & Gynecology, University of Michigan, School of Medicine, Ann Arbor, Michigan.
authors: Vanessa K
authors: VK
authors: Dalton
authors: Department of Health Behavior and Biological Sciences, University of Michigan, School of Nursing, Ann Arbor, Michigan; Emerita Faculty, University of Michigan, School of Nursing, Ann Arbor, Michigan.
authors: Carolyn M
authors: CM
authors: Sampselle
mesh_terms: D003657:Decision Making; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D007751:Labor, Induced / Q000523:psychology*; D008962:Models, Theoretical; D010358:Patient Participation; D057240:Patient Preference; D018802:Patient-Centered Care; D010817:Physician-Patient Relations; D011247:Pregnancy; D036301:Qualitative Research