Treatment satisfaction and need for shared decision‐making in patients with psoriasis from Peru

Tapia, José Carlos; Chavez, Kristhy; Málaga, Germán; Bravo, Francisco

doi:10.1111/bjd.15639

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…The Table lists the included studies . Medical dermatology was the most common subspecialty studied, with melanoma, psoriasis, and connective tissue diseases comprising the bulk of diagnoses.…”

Section: Resultsmentioning

confidence: 99%

“…Definitions of SDM were similar across all articles. Most articles defined SDM as a model of patient care in which the clinician and patient collaborate to determine the best treatment option based on available evidence but also supporting the needs, preferences, and values of the patient . The SDM model was defined in contrast to the paternalistic model, in which the clinician decides on treatment without patient input, and the informed or autonomy model, in which clinicians provide information and the patient is the sole decision-maker .…”

Section: Resultsmentioning

confidence: 99%

“…Most articles defined SDM as a model of patient care in which the clinician and patient collaborate to determine the best treatment option based on available evidence but also supporting the needs, preferences, and values of the patient. 13,18,23,25,27,30,33,35,37,38,40,42,43 The SDM model was defined in contrast to the paternalistic model, in which the clinician decides on treatment without patient input, and the informed or autonomy model, in which clinicians provide information and the patient is the sole decision-maker. 18,30 In SDM, patients are considered experts in their illness and clinicians are considered experts in management of disease, allowing for an egalitarian partnership that supports patient autonomy.…”

Section: Defining Sdmmentioning

confidence: 99%

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Shared Decision-making in Dermatology

et al. 2021

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hared decision-making (SDM) is a formal process of consensus building between health care professionals and patients to select treatment plans based on the best medical evidence and the patient's values. Shared decision-making has been reported to improve patient knowledge, satisfaction, and adherence to treatment. 1 Active collaboration between patient and the clinician is important based on the premises that patients will better adhere to treatment if they understand and agree to its use. Shared decision-making is a measure of high-quality decisionmaking and has been incorporated into reimbursement by payers and legislation of health care models. [2][3][4] Shared decision-making has been broadly applied to medical and surgical specialties since it was first defined in 1982. 5 Shared decisionmaking is particularly relevant in complex, preference-sensitive de-cision-making when there are several medically reasonable alternatives. 6 Fields such as palliative care, oncology, and cardiology have been leaders in the implementation of SDM. [7][8][9][10][11] In addition, the Centers for Medicare & Medicaid Services Innovation Center has developed payment models to encourage clinicians to use patient decision support tools aimed to improve individual understanding of medical options as well as requiring SDM for payment of procedures. 2 Dermatologists and patients co-manage complex chronic conditions with medical, economic, and quality-of-life implications. Decision tools, also known as patient decision aids (PDAs), provide detailed and balanced, evidence-based information about varying treatment options and can therefore be used before, during, or after a clinic visit. 12,13 These tools can be used by the patient before IMPORTANCE Shared decision-making (SDM) can improve the quality of care for patients. The extent to which this tool has been used and the evidence supporting its use in dermatology have not been systematically examined.OBJECTIVE To perform a scoping review of the literature regarding SDM in dermatology.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%