Development and Testing of Shared Decision Making Interventions for Use in Emergency Care: A Research Agenda

被引:32
作者
Melnick, Edward R. [1 ]
Probst, Marc A. [3 ]
Schoenfeld, Elizabeth [4 ]
Collins, Sean P. [5 ]
Breslin, Maggie [6 ]
Walsh, Cheryl
Kuppermann, Nathan [7 ]
Dunn, Pat [8 ,9 ]
Abella, Benjamin S. [10 ]
Boatright, Dowin [1 ,2 ]
Hess, Erik P. [11 ]
机构
[1] Yale Univ, Sch Med, Dept Emergency Med, New Haven, CT 06520 USA
[2] Yale Univ, Sch Med, Robert Wood Johnson Clin Scholar Program, New Haven, CT USA
[3] Icahn Sch Med Mt Sinai, Dept Emergency Med, New York, NY 10029 USA
[4] Baystate Med Ctr, Dept Emergency Med, Springfield, MA USA
[5] Vanderbilt Univ, Dept Emergency Med, 221 Kirkland Hall, Nashville, TN 37235 USA
[6] Sch Visual Arts, New York, NY 10010 USA
[7] Univ Calif Davis, Sch Med, Dept Emergency Med, Sacramento, CA 95817 USA
[8] Amer Heart Assoc, Patient & Healthcare Innovat, Dallas, TX USA
[9] Amer Heart Assoc, Ctr Hlth Technol & Innovat, Dallas, TX USA
[10] Univ Penn, Dept Emergency Med, Philadelphia, PA 19104 USA
[11] Mayo Clin, Coll Med, Dept Emergency Med, Rochester, MN USA
关键词
RISK COMMUNICATION; DEPARTMENT PATIENTS; HEALTH-RISK; CHEST-PAIN; AID; INFORMATION; SUPPORT; FORMAT; PERCEPTIONS; VALIDATION;
D O I
10.1111/acem.13045
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Decision aids are evidenced-based tools designed to increase patient understanding of medical options and possible outcomes, facilitate conversation between patients and clinicians, and improve patient engagement. Decision aids have been used for shared decision making (SDM) interventions outside of the ED setting for more than a decade. Their use in the ED has only recently begun to be studied. This article provides background on this topic and the conclusions of the 2016 Academic Emergency Medicine consensus conference SDM in practice work group regarding Shared Decision Making in the Emergency Department: Development of a Policy-Relevant, Patient-Centered Research Agenda. The goal was to determine a prioritized research agenda for the development and testing of SDM interventions for use in emergency care that was most important to patients, clinicians, caregivers, and other key stakeholders. Using the nominal group technique, the consensus working group proposed prioritized research questions in six key domains: 1) content (i.e., clinical scenario or decision area), 2) level of evidence available, 3) tool design strategies, 4) risk communication, 5) stakeholders, and 6) outcomes. (C) 2016 by the Society for Academic Emergency Medicine
引用
收藏
页码:1346 / 1353
页数:8
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