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báo cáo khoa học: "Acceptance of shared decision making with reference to an electronic library of decision aids (arriba-lib) and its association to decision making in patients: an evaluation study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Acceptance of shared decision making with reference to an electronic library of decision aids (arriba-lib) and its association to decision making in patients: an evaluation study | Hirsch et al. Implementation Science 2011 6 70 http www.implementationscience.eom content 6 1 70 Implementation Science IMPLEMENTATION SCIENCE RESEARCH Open Access Acceptance of shared decision making with reference to an electronic library of decision aids arriba-lib and its association to decision making in patients an evaluation study Oliver Hirsch Heidemarie Keller Tanja Krones and Norbert Donner-Banzhoff Abstract Background Decision aids based on the philosophy of shared decision making are designed to help patients make informed choices among diagnostic or treatment options by delivering evidence-based information on options and outcomes. A patient decision aid can be regarded as a complex intervention because it consists of several presumably relevant components. Decision aids have rarely been field tested to assess patients and physicians attitudes towards them. It is also unclear what effect decision aids have on the adherence to chosen options. Methods The electronic library of decision aids arriba-lib to be used within the clinical encounter has a modular structure and contains evidence-based decision aids for the following topics cardiovascular prevention atrial fibrillation coronary heart disease oral antidiabetics conventional and intensified insulin therapy and unipolar depression. We conducted an evaluation study in which 29 primary care physicians included 192 patients. After the consultation patients filled in questionnaires and were interviewed via telephone two months later. We used generalised estimation equations to measure associations within patient variables and traditional crosstab analyses. Results Patients were highly satisfied with arriba-lib and the process of shared decision making. Two-thirds of patients reached in the telephone interview wanted to be counselled again with arriba-lib. There was a high congruence between preferred and perceived decision making. Of those patients reached in the telephone interview 80.7 said that they .