Toward the 'tipping point': Decision aids and informed patient choice

被引：344

作者：

O'Connor, Annette M. ^{[1
]}

Wennberg, John E.

Legare, France

Llewellyn-Thomas, Hilary A.

Moulton, Benjamin W.

Sepucha, Karen R.

Sodano, Andrea G.

King, Jaime S.

机构：

[1] Univ Ottawa, Sch Nursing, Ottawa, ON K1N 6N5, Canada

[2] Univ Ottawa, Dept Epidemiol & Community Med, Ottawa, ON K1N 6N5, Canada

[3] Univ Ottawa, Tier Canada Res Chair 1, Ottawa, ON K1N 6N5, Canada

[4] Dartmouth Med Sch, CECS, Hanover, NH USA

[5] Univ Laval, Tier Canada Res Chair 2, Quebec City, PQ G1K 7P4, Canada

[6] Univ Laval, Dept Family Med, Quebec City, PQ G1K 7P4, Canada

[7] Amer Soc Law Med & Eth, Boston, MA USA

[8] Massachusetts Gen Hosp, Hlth Decis Res Unit, Boston, MA 02114 USA

[9] Harvard Univ, Sch Med, Boston, MA 02115 USA

来源：

HEALTH AFFAIRS | 2007年 / 26卷 / 03期

关键词：

D O I：

10.1377/hlthaff.26.3.716

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Preference-sensitive treatment decisions involve making value trade-offs between benefits and harms that should depend on informed patient choice. There is strong evidence that patient decision aids not only improve decision quality but also prevent the overuse of options that informed patients do not value. This paper discusses progress in implementing decision aids and the policy prospects for reaching a "tipping point" in the adoption of "informed patient choice" as a standard of practice.

引用

页码：716 / 725

页数：10

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