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share making decisions

Jason Ross, Mladen I Vidovich
INTRODUCTION: Percutaneous coronary intervention (PCI) is typically performed with vascular access provided by the radial or femoral artery. However, little is known about how patients value aspects of these different vascular access approaches. METHODS: Conjoint analysis is a survey-based statistical technique used in market research that helps determine how individuals value different attributes that make up a particular product or services. We utilized conjoint analysis to assess the relative importance of four attributes associated with PCI: access site, risk of bleeding, hospital stay, and radiation exposure...
October 20, 2018: Catheterization and Cardiovascular Interventions
Marc Sørensen, Lars Willy Andersen
Limiting intensive care is paid increasing attention. In the echoing call for physicians' ethical self-restriction, it is easily overlooked, however, that ethics needs a critical epistemological analysis before it can suffice as an emergency brake to futile treatment. This analysis is provided by the present essay. The authors suggest that the difficulties of resolving moral dilemmas related to limiting intensive care may just be due to the unclarified epistemological status of moral claims. Even if normative ethics cannot prescribe right decisions, but only draw conclusions from defined premises, the premises may or may not be true...
October 20, 2018: Bioethics
Rachel C Forcino, Renata West Yen, Maya Aboumrad, Paul J Barr, Danielle Schubbe, Glyn Elwyn, Marie-Anne Durand
OBJECTIVE: In this study, we aim to compare shared decision-making (SDM) knowledge and attitudes between US-based physician assistants (PAs), nurse practitioners (NPs) and physicians across surgical and family medicine specialties. SETTING: We administered a cross-sectional, web-based survey between 20 September 2017 and 1 November 2017. PARTICIPANTS: 272 US-based NPs, PA and physicians completed the survey. 250 physicians were sent a generic email invitation to participate, of whom 100 completed the survey...
October 18, 2018: BMJ Open
A Kater-Kuipers, E M Bunnik, I D de Beaufort, R J H Galjaard
BACKGROUND: The introduction of non-invasive prenatal testing (NIPT) for foetal aneuploidies is currently changing the field of prenatal screening in many countries. As it is non-invasive, safe and accurate, this technique allows for a broad implementation of first-trimester prenatal screening, which raises ethical issues, related, for instance, to informed choice and adverse societal consequences. This article offers an account of a leading international ethical framework for prenatal screening, examines how this framework is used by professionals working in the field of NIPT, and presents ethical guidance for the expansion of the scope of prenatal screening in practice...
October 19, 2018: BMC Pregnancy and Childbirth
Kathleen C Stosch, Richard S Quilliam, Nils Bunnefeld, David M Oliver
Sustainable management of global natural resources is challenged by social and environmental drivers, adding pressure to ecosystem service provision in many regions of the world where there are competing demands on environmental resources. Understanding trade-offs between ecosystem services and how they are valued by different stakeholder groups is therefore critical to maximise benefits and avoid conflict between competing uses. In this study we developed a novel participatory trade-off experiment to elicit the perception of 43 participants, from across four key stakeholder groups, working in land and water management (Environmental Regulators, Farming Advisors, Water Industry Staff and Catchment Scientists)...
October 9, 2018: Science of the Total Environment
Gwen Adshead, David Crepaz-Keay, Mayura Deshpande, K W M Bill Fulford, Veryan Richards
SummaryThe 2015 Supreme Court judgment in Montgomery v Lanarkshire Health Board [2015] UKSC 11 established that consent to medical treatment requires shared decision-making based on dialogue between the clinician and patient. In this editorial, we examine what Montgomery means for standards of good psychiatric practice, and argue that it represents an opportunity for delivering best practice in psychiatric care.Declaration of interestNone.
November 2018: British Journal of Psychiatry: the Journal of Mental Science
Judi Porter, Eleanor Beck, Danielle Gallegos, Claire Palermo, Karen Walton, Alison Yaxley, Evelyn Volders, Amanda Wray, Mary Hannan-Jones
AIM: Foodservice is a key component of dietetics education and practice internationally yet benchmarks for competency are limited. This study sought to review and moderate an assessment artefact of foodservice work integrated learning (WIL) to develop a shared understanding of one tool which may be used in a suite of evidence to demonstrate competence. METHODS: The foodservice curricula and assessment artefacts were described for the foodservice program at each of four participating universities...
October 19, 2018: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
Dena Moskowitz, Una Lee
PURPOSE OF REVIEW: Recurrent urinary tract infections are a common condition that can impact patients' quality of life. The purpose of this review is to summarize and analyze the literature regarding the distress that these infections can cause to patients and provide guidance to clinicians on how to improve care of these patients. RECENT FINDINGS: The current literature on patient perspectives in urinary tract infections shows an emotional symptom experience that is not consistent with the typical symptoms expected by clinicians...
October 18, 2018: Current Urology Reports
Tracey McConnell, Paul Best, Gavin Davidson, Tom McEneaney, Cherry Cantrell, Mark Tully
Plain English summary: Co-producing research with members of the public is increasingly recognised as a valuable process. Yet, despite these good intentions, the literature on coproduction has struggled to keep pace with the coproduction 'movement'. There is a lack of clarity regarding acceptable levels of involvement and attempts at standardising approaches appear generic and lack detail. Moreover, relatively little research has captured the views of all the parties involved (academics, service providers and service users)...
2018: Research Involvement and Engagement
Tyler Marshall, Elizabeth N Kinnard, Myles Hancock, Susanne King-Jones, Karin Olson, Adam Abba-Aji, Katherine Rittenbach, Sunita Vohra
INTRODUCTION: Opioid use disorder (OUD) is characterised by the fifth Edition of the Diagnostic and Statistics Manual as a problematic pattern of opioid use (eg, fentanyl, heroin, oxycodone) that leads to clinically significant impairment. OUD diagnoses have risen substantially over the last decade, and treatment services have struggled to meet the demand. Evidence suggests when patients with chronic illnesses are matched with their treatment preferences and engaged in shared decision-making (SDM), health outcomes may improve...
October 17, 2018: BMJ Open
Ilya Ivlev, Silvie Jerabkova, Meenakshi Mishra, Lily A Cook, Karen B Eden
CONTEXT: Although screening recommendations for prostate cancer using prostate-specific antigen testing often include shared decision making, the effect of patient decision aids on patients' intention and uptake is unclear. This study aimed to review the effect of decision aids on men's screening intention, screening utilization, and the congruence between intentions and uptake. EVIDENCE ACQUISITION: Data sources were searched through April 6, 2018, and includedMEDLINE, Scopus, CENTRAL, CT...
October 16, 2018: American Journal of Preventive Medicine
Galina Velikova, Linda Jane Williams, Sarah Willis, J Michael Dixon, Juliette Loncaster, Matthew Hatton, Jacqueline Clarke, Ian H Kunkler, Nicola S Russell
BACKGROUND: Postmastectomy radiotherapy in patients with four or more positive axillary nodes reduces breast cancer mortality, but its role in patients with one to three involved nodes is controversial. We assessed the effects of postmastectomy radiotherapy on quality of life (QOL) in women with intermediate-risk breast cancer. METHODS: SUPREMO is an open-label, international, parallel-group, randomised, controlled trial. Women aged 18 years or older with intermediate-risk breast cancer (defined as pT1-2N1; pT3N0; or pT2N0 if also grade III or with lymphovascular invasion) who had undergone mastectomy and, if node positive, axillary surgery, were randomly assigned (1:1) to receive chest wall radiotherapy (50 Gy in 25 fractions or a radiobiologically equivalent dose of 45 Gy in 20 fractions or 40 Gy in 15 fractions) or no radiotherapy...
October 15, 2018: Lancet Oncology
Hamza Ijaz, Christopher Wong, Jennifer Weaver, Trudy Mallinson, Lorna Richards, Maxine A Le Saux, Haijun Wang, Yan Ma, Andrew C Meltzer
BACKGROUND: Shared decision-making (SDM) has been studied in the emergency department (ED) in relation to hospital admissions but not for CT scan utilization. CT scans are a common imaging modality with high accuracy that emit considerable ionizing radiation. This study has three aims: to measure provider and patient preference for SDM; to evaluate patient involvement in the decision to order a CT scan; and to determine the association between patient involvement and CT utilization. METHODS: In this prospective study, stable ED patients with abdominal pain with CT imaging as a likely diagnostic tool, were screened and consented...
September 19, 2018: American Journal of Emergency Medicine
Daswin De Silva, Weranja Ranasinghe, Tharindu Bandaragoda, Achini Adikari, Nishan Mills, Lahiru Iddamalgoda, Damminda Alahakoon, Nathan Lawrentschuk, Raj Persad, Evgeny Osipov, Richard Gray, Damien Bolton
BACKGROUND: A primary variant of social media, online support groups (OSG) extend beyond the standard definition to incorporate a dimension of advice, support and guidance for patients. OSG are complementary, yet significant adjunct to patient journeys. Machine learning and natural language processing techniques can be applied to these large volumes of unstructured text discussions accumulated in OSG for intelligent extraction of patient-reported demographics, behaviours, decisions, treatment, side effects and expressions of emotions...
2018: PloS One
Weilong Li, Michael F Murray, Monica A Giovanni
Family health history has long been known to be a powerful predictor of individual disease risk. It can be obtained prior to DNA sequencing in order to examine inheritance patterns, to be used as a proxy for genetic information, or as a tool to guide decision-making on the utility of diagnostic genetic testing. Increasingly, it is also being obtained retrospectively from sequenced individuals to examine familial disease penetrance and to identify at-risk relatives for cascade testing. The collection of adequate family history information to screen patients for disease risk and guide decision-making is a time-consuming process that is difficult to accomplish exclusively through discussion between patients and their providers...
October 18, 2018: Current Protocols in Human Genetics
Mojtaba Nouhi, Mohamad Hadian, Alireza Olyaeemanesh
BACKGROUND: Surgical intervention is one of the common therapeutic interventions applied to a vast class of diseases. Unwarranted variation in practice style in different locations is considered as practice style variations (PSVs), which cause undesirable effects on patient health status and economic consequences. The magnitude of the variations in surgical interventions and its effects on clinical outcomes of patients and also utilization of resources have been investigated in recent years...
October 2018: Medicine (Baltimore)
Allison Shorten, Brett Shorten, Angela Fagerlin, Jessica Illuzzi, Holly Powell Kennedy, Christian Pettker, Dheeraj Raju, Robin Whittemore
INTRODUCTION: Decision aids are central to shared decision making and are recommended for value-sensitive pregnancy decisions, such as birth after cesarean. However, effective strategies for widespread decision aid implementation, with interactive web-based platforms, are lacking. This study tested the feasibility and acceptability of implementing a Health Insurance Portability and Accountability Act-secure, web-based decision aid to support shared decision making about birth choices after cesarean, within urban, ethnically diverse outpatient settings...
October 18, 2018: Journal of Midwifery & Women's Health
María Victoria Ruiz Yanzi, Mariela Silvia Barani, Juan Victor Ariel Franco, Fernando Ramón Vazquez Peña, Sergio Adrian Terrasa, Karin Silvana Kopitowski
OBJECTIVE: To translate, transcultural adapt, and validate the "CollaboRATE" measure and the "Ask 3 Questions" intervention in Argentina, allowing us to quantify the degree of use and implementation of shared decision making (SDM). DESIGN: Cross-sectional study. SETTING AND PARTICIPANTS: Data were collected in an academic hospital in Buenos Aires. Physician-patient pairs were invited to participate following their scheduled outpatient visits...
October 17, 2018: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
Darren Beiko
No abstract text is available yet for this article.
October 2018: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
Jason Izard, D Robert Siemens
No abstract text is available yet for this article.
October 2018: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
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