tailieunhanh - Báo cáo y học: "Dual equipoise shared decision making: definitions for decision and behaviour support interventions"

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: Dual equipoise shared decision making: definitions for decision and behaviour support interventions | Implementation Science BioMed Central Debate Open Access Dual equipoise shared decision making definitions for decision and behaviour support interventions Glyn Elwyn 1 Dominick Frosch2 and Stephen Rollnick1 Address Clinical Epidemiology Interdisciplinary Research Group Department of Primary Care and Public Health School of Medicine Cardiff University Heath Park CF14 4YS UK and 2Department of Health Services Research Palo Alto Medical Foundation Research Institute 795 El Camino Real Palo Alto CA 94301 USA Email Glyn Elwyn - elwyng@ Dominick Frosch - dfrosch@ Stephen Rollnick - Corresponding author Published 18 November 2009 Received 19 February 2009 . r r . __ . . . - r Accepted 18 November 2009 Implementation Science 2009 4 75 doi l748-5908-4-75 This article is available from http contentM 1 75 2009 Elwyn et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background There is increasing interest in interventions that can support patients who face difficult decisions and individuals who need to modify their behaviour to achieve better outcomes. Evidence for effectiveness is used to categorise patients care. Effective care is where evidence of benefit outweighs harm patients should always receive this type of care where indicated. Preference-sensitive care describes a situation where the evidence for the superiority of one treatment over another is either not available or does not allow differentiation in this situation there are two or more valid approaches and the best choice depends on how individuals value the risks and benefits of treatments. Discussion Preference-sensitive decisions are defined by equipoise situations .