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Báo cáo y học: " Adjuncts or adversaries to shared decision-making? Applying the Integrative Model of behavior to the role and design of decision support interventions in healthcare interactions"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Adjuncts or adversaries to shared decision-making? Applying the Integrative Model of behavior to the role and design of decision support interventions in healthcare interactions | Implementation Science BioMed Central Open Access Debate Adjuncts or adversaries to shared decision-making Applying the Integrative Model of behavior to the role and design of decision support interventions in healthcare interactions Dominick L Frosch 1 2 France Légaré3 Martin Fishbein4 and Glyn Elwyn5 Address Department of Medicine Division of General Internal Medicine Health Services Research University of California Los Angeles USA 2Department of Health Services Research Palo Alto Medical Foundation Research Institute Palo Alto CA USA 3Department of Family Medicine Université Laval Québec City Canada 4Annenberg Public Policy Center Annenberg School for Communication University of Pennsylvania Philadelphia USA and 5Department of Primary Care and Public Health School of Medicine Cardiff University UK Email Dominick L Frosch - froschd@pamfri.org France Légaré - france.legare@mfa.ulaval.ca Martin Fishbein - mfishbein@asc.upenn.edu Glyn Elwyn - elwyng@cardiff.ac.uk Corresponding author Published 12 November 2009 Received II July 2008 . A- -. I. n n - inrr nn AT Accepted 12 November 2009 Implementation Science 2009 4 73 doi 10.1186 1748-5908-4-73 This article is available from http www.implementationscience.com content 4 1 73 2009 Frosch et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background A growing body of literature documents the efficacy of decision support interventions DESI in helping patients make informed clinical decisions. DESIs are frequently described as an adjunct to shared decision-making between a patient and healthcare provider however little is known about the effects of DESIs on patients interactional behaviors-whether or not they promote the involvement of patients in decisions. .