Defining shared decision making and concordance: are they one and the same?

Jordan, Joanne L.; Ellis, Simon J.; Chambers, Ruth

doi:10.1136/pmj.78.921.383

Cited by 50 publications

(42 citation statements)

References 4 publications

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“…In turn, the patient explores their expectations of rehabilitation and preferred extent of involvement in the decision-making process Elwyn, Edwards & Kinnersley, 1999;Elwyn et al, 2000). Both the clinician and patient then decide on the rehabilitation plan in a collaborative manner based on the evidence available and the patient's input Guadagnoli & Ward, 1998;Jordan, Ellis, & Chambers, 2002).…”

Section: Patient-centred Carementioning

confidence: 99%

Evaluation of audiological rehabilitation services for adults with hearing impairment in Malaysia

Ali¹

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The effects of hearing impairment on adult patients and their families have been extensively reported (e.g. communication difficulties, emotional distress and social engagement restrictions, and decreased quality of life). Therefore, audiologists have a responsibility to help patients and their families manage activity limitations and participant restrictions that arise from hearing impairment in the context of the International Classification of Functioning, Disability and Health (ICF). This approach is very much in line with the principles of patient-centred care (PCC) that have been extensively promoted as best practice for the healthcare management of older adults. Despite reports of the benefits of PCC for adult patients in Western countries, including adherence to management plans and reduced recovery time, it is not known whether this approach is incorporated into audiological services for adult patients in Malaysia.The aims of this thesis were to investigate (i) the nature of audiological rehabilitation services for adults with hearing impairment in Malaysia, and (ii) the extent of patient-centredness exhibited by audiologists in Malaysia. To address these aims, a mixed methods approach was used. The quantitative measures were utilised to explore the current practice of audiologists in managing adult patients and to identify the preferences for PCC in audiological management from the perspectives of audiologists and adult patients, while the qualitative measures provided an in-depth view of the implementation of PCC in audiological management. The types of methods utilised were online and paper based surveys, individual semi-structured in-depth interviews, and video observation.Chapter 1 describes Malaysia briefly, with a focus on the field of audiology and the services offered. The ICF framework, which structures this thesis, and the PCC approach, which is the focus of this thesis, is presented in this chapter. Chapter 2 describes the audiological management for adults with hearing impairment and their significant others in the context of the ICF, as recommended by established audiology professional associations. Chapter 2 also includes background on PCC in more detail.Chapter 3 explored the nature of audiological services for adults with hearing impairment in Malaysia, with an emphasis on whether current services addressed patients' overall functioning described in the ICF. In general, the audiologists in Malaysia addressed the hearing impairment and its associated activity limitations and participation restrictions in their ii management of adult patients. However, gaps were identified with there being a strong emphasis on addressing impairment-level impacts. Inadequate infrastructure, resources and facilities in the workplace may have contributed to the gaps in service provision and influenced the current practice of audiological management for patients in Malaysia.Chapter 4 identified the preferences of adult patients for PCC and the level of PCC they received from audiologists. Although the...

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Section: Patient-centred Carementioning

confidence: 99%

Evaluation of audiological rehabilitation services for adults with hearing impairment in Malaysia

Ali¹

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“…En este sentido, la concordancia está estrechamente relacionada con el PDC, hasta el punto de ser considerada como su resultado (27) o como un subtipo del mismo (28).…”

Section: Originales Y Revisionesunclassified

Aspectos conceptuales sobre el proceso de decisión compartida en salud mental

Villagrán

Ruiz-Granados

González‐Sáiz

2015

Rev. Asoc. Esp. Neuropsiq.

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“…Otros cuantos destacan la importancia de proporcionar información al paciente real� mente basada en evidencia, mientras que otros priorizan la relevancia del vínculo terapéutico. También en la literatura apa� recen otros constructos similares como la toma de decisiones informada (9) , la concor� dancia (10,11) , la elección del paciente basa� da en la evidencia (12,13) y la participación mutua (14) . Makoul y Clayman (7) realizan una in� teresante revisión de las variables con� ceptuales desde las que se define en la literatura el concepto de TDC.…”

Section: Marco Conceptual: Deliberación Incertidumbre Y Counsellingunclassified

Hacia un modelo de toma de decisiones compartida para el final de la vida

Barbero¹,

Prados²,

González³

2011

Psicooncología

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ResumenLa toma de decisiones es una práctica diaria de todos los seres humanos. En dicha práctica los criterios que se utilizan se conforman en base a experiencias pasadas, modelos cotidianos o incluso inercias nunca cuestionadas. En el ámbito clínico, sin embargo, debe exigirse un quehacer crítico a la hora de discernir los procedimientos y criterios óptimos para la toma de decisiones, requiriéndose análisis y juicios efectivos y ágiles. A nuestro entender, un planteamiento altamente interesante para abordar decisiones en el ámbito del final de la vida es el de Toma de Decisiones Compartidas (TDC). En el presente texto se pretende, en un primer momento, conceptualizar las variables consideradas más relevantes en dicho modelo, para proponer posteriormente un protocolo que actúe como herramienta facilitadora de la toma de decisiones complicadas a las que pueden verse expuestos los pacientes y sus familiares.Palabras clave: Toma de decisiones compar� tidas, cuidados paliativos, final de vida, bioé� tica. AbstractDecision making is a task all human beings have to face up to daily. The underlying basis for this practice is formed and marked by former experiences, every day applied or even automatized models that are never questioned. In the clinical setting, however, a critical reflexion is necessary when deciding procedures and criterias for making decisions, requiring analysis and effective and agile decisions. In our view, a highly interesting approach to tackle decisions in the ambit of the end-of-life is the Shared Decision-Making. In this paper we intend, at first, to conceptualize the most relevant variables according to that model, and then to propose a protocol to act as a facilitating tool for making difficult decisions to which the patients and their families may be exposed to. Key words. Shared decision making, pallia� pallia� tive care, end of life, bioethics. Correspondencia:Javier Barbero, Servicio de Hematología y Hemoterapia. Hospital Universitario La Paz. Pº Castellana 261, 28046-Madrid. E-mail: jbarbero.hulp@salud.madrid.org INTRODUCCIÓNLa toma de decisiones es una práctica diaria de todos los seres humanos, tanto en el ámbito personal como en el profesio� nal. La inmensa mayor parte de las veces está ajustada a unos criterios debidamen� te internalizados que, como constancias comportamentales, simplifican la vida. Además, estas decisiones se construyen en cadena, es decir, en medio de un proceso decisional plagado de secuenciales micro�

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Defining shared decision making and concordance: are they one and the same?

Cited by 50 publications

References 4 publications

Evaluation of audiological rehabilitation services for adults with hearing impairment in Malaysia

Evaluation of audiological rehabilitation services for adults with hearing impairment in Malaysia

Aspectos conceptuales sobre el proceso de decisión compartida en salud mental

Hacia un modelo de toma de decisiones compartida para el final de la vida

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