|
Apply the evidence to the
patient.
Appropriate decision making integrates the context, values and
preferences of the patient, as well as available resources, including
professional expertise.
|
|
Patient
Values
| Patients vary in how much they want to know about their condition,
how much they are ready to commit to change, and what is important to their
lifestyle to list just a few factors. Smith's book (below) discusses how to
address such value-based issues during the patient-physician consultation.
Decision aids should also take them into account when assisting decisions on
selecting care. |
|
|
|
|
|
Decision
Aids
"Decision aids appeared to have a
positive effect on patient-practitioner communication." From: Stacey, D et al.
Decision aids for
people facing health treatment or screening decisions. Cochrane Database of
Systematic Reviews, 12 April 2017
- Absolute CVD Risk/Benefit Calculator
Provides an absolute estimate (%) of a person's chance of having a
cardiovascular event over a specific period of time and an idea of the
potential benefit of treatment. It includes the Framingham calculator.
- Mayo Clinic Shared Decision
Making National Resource Center
Advances patient-centered medical care
by promoting shared-decision making through the development, implementation,
and assessment of patient decision aids and shared decision making
techniques.
- Ottawa Patient Decision
Aids
Includes the Ottawa Personal Decision Guides, which can help people
identify their decision-making needs, plan the next steps, track their
progress, and share their views about the decision.
- USPSTF
ePSS Tool
Electronic Preventive Services Selector: search and browse
U.S. Preventive Services Task Force (USPSTF) recommendations and guidelines.
Mobile friendly.
|
|
Applying the Evidence
Worksheet
|
Similar
Patients |
|
1. Are your patients
similar to those in the study? |
|
2. Are they so different
that the results can’t help you? |
|
3. How much of the study
effect can you expect for your patients? |
|
Realistic
Interventions |
|
4. Is the intervention
realistic in your setting? |
|
5. Does the comparison
intervention reflect your current practice? |
|
6. What alternatives are
available? |
|
Right
Outcomes |
|
7. Have all the right
outcomes been considered? |
|
8. Are the outcomes
appropriate to your patient? |
|
9. Does the intervention
meet their values and preferences? |
Adapted from: Heneghan,
Carl and Badenoch, Douglas. Evidence-Based Medicine Toolkit,
2nd edition. Oxford: Blackwell Publishing: BMJ Books. 2006,
p. 71. |
|
|
