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May 16, 2019

Supporting Implementation of Shared Decision Making for Statin Therapy Initiation in Primary Care

By Kirsten Fleming kirstenfleming

Submitted by Aaron Leppin Decisions on whether to initiate statin therapy for cardiovascular risk reduction should be based on individual patient risk and occur in the context of a shared decision making (SDM) conversation. The Statin Choice Conversation Aid is a web-based tool that incorporates patient variables to calculate and present an individual-level risk. It […]

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April 29, 2019

Patient explicit consideration of tradeoffs: a Values Clarification Method

By Kirsten Fleming kirstenfleming

Submitted by Arwen H. Pieterse In oncology, as in other healthcare settings, shared decision making (SDM) is increasingly advocated when more than one treatment strategy is available. However, we previously found that cancer patient treatment preferences are often left undiscussed, and that patients are hardly involved in treatment decision making.  If patients are unclear about […]

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March 22, 2019

Technical versus Humanistic Shared Decision Making revisited: Evaluating its occurrence

By Kirsten Fleming kirstenfleming

Submitted by Marleen Kunneman & Victor Montori In an earlier post, we reflected on technically correct and humanistic shared decision making (SDM). In our view, it is unclear “whether having a technically correct structure of the SDM process improves the likelihood that the care decisions made will contribute to improve the patient situation.” We called […]

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March 19, 2019

Trust and shared decision making

By Kirsten Fleming kirstenfleming

By Victor Montori At the beginning of our research journey into shared decision making (SDM), we thought that fostering collaboration between patients and clinicians would promote their partnership and advance mutual trust. Yet, in this trial reported in 2008, we only measured patient trust in the clinician, and we found that disclosing uncertainty (as the […]

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October 29, 2018

Technical versus Humanistic Shared Decision Making

By Kirsten Fleming kirstenfleming

Submitted by  Marleen Kunneman, Fania R Gärtner, Ian G Hargraves, Victor M Montori   In a recent commentary published in the Journal of Argumentation in Context, we aimed to draw a contrast between technically correct shared decision making (SDM), and a humanistic approach to SDM.1 We stated: “To address a patient’s problematic situation, patients and clinicians […]

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October 22, 2018

Listening

By Kirsten Fleming kirstenfleming

Submitted by Dorothea Lagrange Throughout Europe there are many beggars from poorer countries. They are seldom welcome. What often gets lost in the rhetoric around these individuals is that these are real people, people who are often vulnerable and in need. In Sweden, where I live, I often encounter these beggars. I wish to tell […]

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August 2, 2018

Protected: Upcoming decision aids (Private)

By Victor M. Montori manosin

There is no excerpt because this is a protected post.

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May 17, 2018

Caring For Each Other: The Charter on Physician Well-Being by Colin West, M.D.

By Victor M. Montori manosin

Physician well-being is recognized as a critical contributor to how patients experience health care, but physicians are too often distressed, burned out, and dissatisfied. Attention to physician well-being offers benefits to every member of the health care system. Of particular relevance to this blog site, shared decision making and its promotion of meaningful relationships with […]

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April 19, 2018

KER Unit 2017 Annual Report

By Victor M. Montori manosin

We are pleased to present our 2017 Annual Report.  A special thank you to Keven Shaw for putting it together.  KER_Unit_Annual_Report

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March 21, 2018

“Problem-solving”…?

By Victor M. Montori manosin

Submitted by Dorothea Lagrange I am a practicing physician in Sweden, where I have lived for many years. Often, I travel back to my home country of Germany and during my travels I enjoy looking at postcards. Most are quite funny, but sometimes beyond the humor is a message more profound. My favorites involve problem […]

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