Optimal matches of patient preferences for information, decision-making and interpersonal behavior: Evidence, models and interventions

Kiesler, Donald J.; Auerbach, Stephen M.

doi:10.1016/j.pec.2005.08.002

Cited by 428 publications

(354 citation statements)

References 158 publications

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“…At the other end of the spectrum, critics charge that patients can choose harmful or ruinously expensive options unchallenged by their physicians [24]. Some argue that only the rich and highly educated can engage in SDM because they are better equipped to understand the evidence and assert their preferences, and that if SDM is appropriated by a culture of 'mandatory autonomy' it will only benefit the powerful [25,26].…”

Section: Determine the Decision To Be Madementioning

confidence: 99%

Is Shared Decision Making a Utopian Dream or an Achievable Goal?

Blair

2015

Patient

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The idea of shared decision making (SDM) between patient and physician grew out of a generalized challenge to traditional social hierarchies that occurred in the middle of the last century. Governments have espoused SDM, thousands of articles about it have been published, and evidence has shown that it improves some of the healthcare processes as well as patient outcomes. Yet it has not been widely adopted. From their cross-disciplinary perspective (practical theology and clinical medicine), the authors locate this reluctance in the unfolding of scientific paradigm shifts, summarize the perceived risks and benefits of SDM and the evidence for each, and suggest practical, achievable approaches for clinicians. Finally, they explore some important emerging territories for SDM. Key Points for Decision MakersShared decision making (SDM) has proved its worth and is achievable … but debates continue.Several validated models are available right now for use in clinical practice.People can and are being successfully trained in SDM.SDM is needed to address emerging value-laden clinical decisions such as those about caring for the elderly and about genetic testing.

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Section: Determine the Decision To Be Madementioning

confidence: 99%

Is Shared Decision Making a Utopian Dream or an Achievable Goal?

Blair

2015

Patient

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“…Research in this area concerns mainly patients' decision-making regarding a specific dental condition (Kiesler & Auerbach, 2006). Authors admit that in cases involving pain or immediate medical intervention, patients' expectations of doctors may differ.…”

Section: Discussionmentioning

confidence: 99%

Patients’ Beliefs Regarding Dental Health Promotion

Dubielecka¹,

Rusyan²,

Zduniak³

et al. 2017

JPR

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Objectives: The aim of the present study was to assess patients' perceptions regarding dental caries prophylaxis.Methods: The study sample comprised 170 male and female subjects (F = 96, M = 74) aged between 18 and 65 years randomly selected from urban (the U group, n = 110) and rural (the R group, n = 60) areas. The study examined patients' beliefs regarding follow-up dental visits and professional dental prophylaxis (PDP). Results:The survey revealed that over 60% of the respondents from both rural and urban areas believed that the dental practitioner should decide whether performing an in-office PDP is necessary. There were significant differences between the rural (R) and urban (U) study samples in how the respondents valued dental check-ups. The subjects from the R group declared that one dental visit per year should be performed, unlike the U group subjects who postulated less frequent dental visits. There were no significant differences between the study groups regarding payment decisions for PDP.

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“…Instead of advocating patient participation as such, a more fruitful approach might be to establish a good match between patients' preferred levels of participation and their actual levels of participation. A literature review investigating the effects of matching patients' preferred levels of participation with their (perceptions of) actual participation levels indeed showed that such a match leads to higher patient satisfaction, more fulfillment of information needs, and more positive affect than a mismatch among cancer patients, primary care patients, and ambulatory care patients (Kiesler & Auerbach, 2006).…”

Section: Matching Patients' Preferred and Actual Levels Of Participationmentioning

confidence: 99%

“…A more fruitful approach might therefore be to research the effects of other types of doctor-patient concordance, such as concordance in preferred doctor-patient relationship. Doctor-patient concordance in preferred doctor-patient relationship refers to the agreement between doctors and patients about their orientation toward each other and the treatment approach, such as doctor-centeredness (e.g., the physician setting the agenda for the consultation, making decisions, and thus hardly including the patient in the decision-making process) versus patient-centeredness (e.g., the patient and doctor setting the agenda together and engaging in shared decision making; Kiesler & Auerbach, 2006;Krupat et al, 2000).…”

Section: Doctor-patient Concordancementioning

confidence: 99%