Decision Aids in the United States: the Patient Response

Wexler, Raymond; Gerstein, Bethany S.; Brackett, Charles; Fagnan, Lyle J.; Fairfield, Kathleen M.; Frosch, Dominick L.; Lewis, Carmen L.; Morrissey, Lawrence; Simmons, Leigh H.; Swieskowski, David; Chang, Yuchiao; Fowler, Floyd J.; Barry, Michael J.

doi:10.5750/ijpcm.v5i3.517

Cited by 2 publications

(1 citation statement)

References 15 publications

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“…The reporting was not sufficiently detailed to permit a pooled analysis . A cohort study of 3001 patients participating in SDM with pDAs in 6 US primary care practices found similar positive reactions and improvements in knowledge across the spectrum of age, sex, and educational level, but the study included too few Black, Indigenous, and Latinx individuals to enable making separate conclusions for these populations …”

Section: Generalizability Of Sdmmentioning

confidence: 99%

Collaboration and Shared Decision-Making Between Patients and Clinicians in Preventive Health Care Decisions and US Preventive Services Task Force Recommendations

Davidson

Mangione

Barry

et al. 2022

JAMA

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The US Preventive Services Task Force (USPSTF) works to improve the health of people nationwide by making evidence-based recommendations for preventive services. Patient-centered care is a core value in US health care. Shared decision-making (SDM), in which patients and clinicians make health decisions together, ensures patients’ rights to be informed and involved in preventive care decisions and that these decisions are patient-centered. SDM has a role across the spectrum of USPSTF recommendations. For A or B recommendations (judged by the USPSTF to have high or moderate certainty of a moderate or substantial net benefit at the population level), SDM allows individual patients to decide whether to accept such services based on their personal values and preferences. For C recommendations (indicating at least moderate certainty of a small net benefit at the population level), SDM is critical for individual patients to decide whether the net benefit for them is worthwhile. For D recommendations (reflecting at least moderate certainty of a zero or negative net benefit) or I statements (low certainty of net benefit), clinicians should be prepared to discuss these services if patients ask. More evidence is needed to determine if, in addition to promoting patient-centeredness, SDM reduces inequities in preventive care, as well as to define new strategies to find time for discussion of preventive services in primary care.

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Section: Generalizability Of Sdmmentioning

confidence: 99%