Are patient decision aids the best way to improve clinical decision making? Report of the IPDAS symposium
Are patient decision aids the best way to improve clinical decision making? Report of the IPDAS symposium
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DOI：
10.1177/0272989x07307272
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发表时间：
2007-09-01
影响因子：
3.6
通讯作者：
Correa-de-Araujo, Rosaly
中科院分区：
文献类型：
--
作者：
Holmes-Rovner, Margaret;Nelson, Wndy L.;Correa-de-Araujo, Rosaly
本文报道了2006年在马萨诸塞州剑桥举行的医学决策学会年会上举行的国际患者决策辅助标准研讨会。研讨会的特色是关于“决策辅助工具是改善临床决策的最佳途径”这一命题的辩论。“正式辩论解决了改进决策的适当黄金标准、决策辅助工具的有效性和实施前景的理论问题。观众的意见和问题集中在理论和实践：在预期效用理论和有限的病人决策辅助实施医疗保健的实际问题，往往不承认的根源决策辅助。与会者对这一提议的投票大约是一半赞成，一半反对。
This article reports on the International Patient Decision Aid Standards Symposium held in 2006 at the annual meeting of the Society for Medical Decision Making in Cambridge, Massachusetts. The symposium featured a debate regarding the proposition that "decision aids are the best way to improve clinical decision making." The formal debate addressed the theoretical Problem of the appropriate gold standard for an improved decision, efficacy of decision aids, and prospects for implementation. Audience comments and questions focused on both theory and practice: the often unacknowledged roots of decision aids in expected utility theory and the practical problems of limited patient decision aid implementation in health care. The participants' vote on the proposition was approximately half for and half against.