Decision analysis in patient care

被引:93
作者
Elwin, G [1 ]
Edwards, A
Eccles, M
Rovner, D
机构
[1] Univ Wales Coll Med, Dept Gen Practice, Canolfan Iechyd Llanedeyrn Hlth Ctr, Cardiff CF23 9PN, S Glam, Wales
[2] Univ Newcastle Upon Tyne, Ctr Hlth Serv Res, Newcastle Upon Tyne NE2 4AA, Tyne & Wear, England
[3] Michigan State Univ, E Lansing, MI 48824 USA
关键词
D O I
10.1016/S0140-6736(01)05709-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To help patients to fully participate In shared decision making Is becoming an important goal in clinical practice and one which is receiving Increasing attention In terms of the requisite skills and technological development. We discuss the potential application of decision analysis-a specific technology that has been Introduced Into clinical practice but to date only within research contexts-and examine the usefulness and feasibility of the technique for patients, particularly In settings where clinical presentations are diverse and characterised by uncertainty.
引用
收藏
页码:571 / 574
页数:4
相关论文
共 32 条
[1]  
[Anonymous], EVIDENCE BASED MED
[2]   Shared decision-making in the medical encounter: What does it mean? (Or it takes at least two to tango) [J].
Charles, C ;
Gafni, A ;
Whelan, T .
SOCIAL SCIENCE & MEDICINE, 1997, 44 (05) :681-692
[3]  
Dowie J, 1996, J Health Serv Res Policy, V1, P104
[4]   Communication about risk: diversity among primary care professionals [J].
Edwards, A ;
Matthews, E ;
Pill, R ;
Bloor, M .
FAMILY PRACTICE, 1998, 15 (04) :296-300
[5]   Presenting risk information - A review of the effects of "framing'' and other manipulations on patient outcomes [J].
Edwards, A ;
Elwyn, G ;
Covey, J ;
Matthews, E ;
Pill, R .
JOURNAL OF HEALTH COMMUNICATION, 2001, 6 (01) :61-82
[6]   How should effectiveness of risk communication to aid patients' decisions be judged? A review of the literature [J].
Edwards, A ;
Elwyn, G .
MEDICAL DECISION MAKING, 1999, 19 (04) :428-434
[7]  
Elwyn G, 2000, BRIT J GEN PRACT, V50, P892
[8]   The physician-patient encounter: The physician as a perfect agent for the patient versus the informed treatment decision-making model [J].
Gafni, A ;
Charles, C ;
Whelan, T .
SOCIAL SCIENCE & MEDICINE, 1998, 47 (03) :347-354
[9]  
Gigerenza G., 1999, SIMPLE HEURISTICS MA
[10]   Patient participation in decision-making [J].
Guadagnoli, E ;
Ward, P .
SOCIAL SCIENCE & MEDICINE, 1998, 47 (03) :329-339