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On
the Same Page™

Evidence-based
Information & Decision Aid Examples for Health Care Professionals
&
Patients —
Putting Everyone on the Same Page
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Here
are some of the things we think matter to patients —
Delfini
Framework
for Patient Care
This
is our suggested framework for considering evidence-based quality improvement
projects in the context of major health care objectives in an idealized
context.

Delfini
Model
for Patient Decision-making

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Studies
show that physicians tend to describe decisions to patients, but tend
to exclude describing benefits, harms, risks, costs, uncertainties
and alternatives. Patient-centered care is about choice. Physicians
need to be prepared to discuss all these areas with patients.
Studies
also show that patients have individual preferences for decision
styles depending upon their unique circumstances. These styles are
autonomous, physician-directed and shared. Autonomous decision-making
is performed solely by the patient. Physician-directed means the
physician chooses. Shared decision-making is jointly performed by
physicians and patients. Patient-centered care involves the patient
in deciding which decision style to use, based on that patient's
own needs, values and preferences.
Physicians
may wish to favor a more prescriptive style where the evidence is
strong. Shared-decision making is often most optimal where there
are uncertainties and/or equally reasonable alternatives.
Patient
choice is at the heart of patient-centered care.
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Let
us see your examples! Submission Criteria
& Other Information [PDF]
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