A CONFERENCE GRANT TO BUILD SHARED DECISION MAKING RESEARCH AND IMPLEMENTATION

描述（由申请人提供）：在过去的30年里，共同决策（SDM）的研究人员和临床医生已经开发和完善了许多以患者为中心的决策工具，用于各种健康决策。尽管SDM研究取得了进展，但很少有临床医生在实践中接受过实施SDM的培训，很少有人意识到有大量基于证据的决策辅助工具可用。《患者保护和平价医疗法案》（PPACA）第936条强调了患者和临床医生参与SDM的必要性。立法规定，临床医生应该向患者提供有关风险、利益和各种医疗保健选择之间的权衡的信息，并将患者的价值观纳入医疗计划。然而，如果没有对SDM的实际应用进行研究，并且没有适当的培训来帮助临床医生在实践中采用SDM和决策辅助工具，临床医生将无法实现PPACA的目标之一。本提案要求为举办一次会议提供必要的支持，以便：（目标1）建立一个研究人员网络，以开发、开展和传播将SDM实施到常规临床实践的研究方法；（目标2）在主办机构（圣路易斯华盛顿大学）举办关于SDM技能、患者决策辅助、SDM对健康结果的影响、SDM措施和SDM实施的演讲和讲习班；（目标3）将会议结果传播给其他有兴趣了解如何将SDM实施到常规临床实践的研究人员、临床医生、卫生保健管理人员、患者群体和政策制定者。会议响应PA-09-231的要求，将重点放在传播研究成果、建立研究基础设施和职业发展上。它将包括教师、学员和学生，他们将共同努力，与临床医生一起发展、分享和传播研究、经验和培训。这次会议具有创新性，因为它建立在一项新的重大国家政策倡议（PPACA）的基础上，它侧重于发展研究网络和促进SDM实施的科学和实践。它的意义重大，因为它通过研究将CER转化为患者和临床医生的方法，专注于AHRQ优先领域（CER），它汇集了新的研究合作者，它涉及那些愿意将SDM纳入常规实践但尚未准备好的临床医生和系统。会议将作为未来几个计划项目的第一步，例如旨在鼓励在实践中采用SDM的多地点资助，以及培训SDM临床医生的资助。

DESCRIPTION (provided by applicant): Over the past 30 years, researchers and clinicians in shared decision making (SDM) have developed and refined numerous patient-centered decision tools for a variety of health decisions. Despite the progress of SDM research, few clinicians feel trained to implement SDM in practice, and few are aware of the vast number of evidenced-based decision aids available. Section 936 of The Patient Protection and Affordable Care Act (PPACA) emphasizes the need for patients and clinicians to engage in SDM. The legislation states that clinicians should provide patients with information about risks, benefits, and trade-offs among health care options, and incorporate patients' values into medical plans. However, without research on practical applications of SDM, and without appropriate training to help clinicians adopt SDM and decision aids in practice, clinicians will be ill-equipped to implement one of the goals of the PPACA. This proposal requests the necessary support to host a conference to: (Aim 1) develop a network of researchers to develop, conduct, and disseminate research on ways to implement SDM into routine clinical practice; (Aim 2) conduct presentations and workshops at the host institution (Washington University in St. Louis) on SDM skills, patient decision aids, the impact of SDM on health outcomes, SDM measures, and SDM implementation; and (Aim 3) to disseminate the conference results to other groups of researchers, clinicians, health care administrators, patient groups, and policy makers interested in learning about ways to implement SDM into routine clinical practice. The conference is responsive to PA-09-231 by focusing on disseminating research results, building research infrastructure, and career development. It will include faculty, trainees and students that will work together to develop, share and disseminate research, experiences, and trainings with clinicians. The conference is innovative because it builds on a new and major national policy initiative (PPACA) and it focuses on both developing research networks and promoting the science and practice of SDM implementation. It is significant because it focuses on an AHRQ priority area (CER) by studying ways to translate CER to patients and clinicians, it brings together new research collaborators, and it involves clinicians and systems who are willing, yet unprepared to incorporate SDM in routine practice. The conference will serve as the first step toward several planned projects for future proposals, such as a multi-site grant designed to encourage the adoption of SDM in practice, and a grant to train clinicians in SDM. PUBLIC HEALTH RELEVANCE: Over the past 30 years, researchers and clinicians in shared decision making (SDM) have developed and refined numerous patient-centered decision tools for a variety of health decisions. Despite the progress of SDM research, few clinicians feel trained to implement SDM in practice, and few are aware of the vast number of evidenced-based decision aids available. This proposal requests funds to host a conference focused on ways to implement SDM into routine clinical practice.