Development and application of patient decision aids

Bae, Jong Myon

doi:10.4178/epih/e2015018

Cited by 8 publications

(8 citation statements)

References 36 publications

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“…The extent of patient participation depends on patient age, socioeconomic status, disease status, etcetera [ 43 ], and accordingly, it is important to strengthen the patient capacity needed for decision making [ 38 ]. Therefore, as strategies to overcome the limitations from the patient perspective, clinical practice guidelines [ 44 ] and patient decision aids [ 45 ] should be developed so that patients can share relevant information within a limited time during clinical examination. In addition, the process of signing the informed consent could be utilized for this purpose [ 46 ].…”

Section: Limitations In the Application Of Shared Decision Making Andmentioning

confidence: 99%

Shared decision making: relevant concepts and facilitating strategies

Bae

2017

Epidemiol Health

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As the paradigm in healthcare nowadays is the evidence-based, patient-centered decision making, the issue of shared decision making (SDM) is highlighted. The aims of this manuscript were to look at the relevant concepts and suggest the facilitating strategies for overcoming barriers of conducting SDM. While the definitions of SDM were discordant, several concepts such as good communication, individual autonomy, patient participants, and patient-centered decision-making were involved. Further, the facilitating strategies of SDM were to educate and train physician, to apply clinical practice guidelines and patient decision aids, to develop valid measurement tools for evaluation of SDM processes, and to investigate the impact of SDM.

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Section: Limitations In the Application Of Shared Decision Making Andmentioning

confidence: 99%

Shared decision making: relevant concepts and facilitating strategies

Bae

2017

Epidemiol Health

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“…Patient decision-aid (PDA) is a tool to facilitate decision making by providing relevant information about their treatment options and probable outcomes to the target audience, and to allow clarification of their personal values and preferences 1. Such tools are often used in shared decision making (SDM) between the healthcare provider and patient in situations when there are multiple options for investigation and treatment 2 3. The PDA needs to be contextualised to the local culture, the population’s health literacy, the local clinic or hospital workflow, healthcare system and associated policies for it to enhance the SDM process.…”

Section: Introductionmentioning

confidence: 99%

Cultural adaptation of a patient decision-aid for insulin therapy

et al. 2020

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IntroductionPatient decision-aids (PDAs) support patients in selecting evidence-based treatment options. PDA is useful only if the user understands the content to make personalised decisions. Cultural adaptation is a process of adjusting health messages so that the information is accurate, relevant and understandable to users from a different population. A PDA has been developed to assist Malaysian patients with secondary drug failure to initiate insulin therapy to control their type 2 diabetes mellitus (T2DM). Likewise, patients with T2DM in neighbouring Singapore face similar barriers in commencing insulin treatment, which a PDA may facilitate decision-making in selecting personalised therapy.ObjectiveThe study aimed to explore the views and perceptions of Singaporean primary care providers on the Malaysia PDA to initiate insulin therapy and described the cultural adaptation process used in the design and development of a new PDA, which would be trialled in a Singapore primary healthcare institution.MethodQualitative research method was deployed to conduct one-to-one in-depth interviews of the healthcare providers at the trial site (SingHealth Polyclinics—SHP), including six primary care physicians and four nurses to gather their views and feedbacks on the Malaysian PDA. The interviews were transcribed, audited and analysed (standard content analysis) to identify themes relating to the content, layout, concerns of the original PDA and suggestions to the design of the new SHP PDA.ResultsCultural adaptation of the new PDA includes change to the overall design, graphics (including pictograms), presentation styles, additional contextualised content (personalisation, subheadings, cost and treatment option), modified phrasing of the subtitles and concerns (choice of words) relevant to the new users.ConclusionA PDA on insulin therapy underwent cultural adaptation before its implementation in another population in a neighbouring country. Its relevance and effectiveness will be evaluated in future research.

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“…41 For good communication in clinical setting, GP/FP should consider actively to apply some tools as likely as patient decision aids. 49 • Last, Gillon 31 distributive justice means to allocate limited health-care resources fairly. Thus, effort…”

Section: Quaternary Prevention and Medical Ethicsmentioning

confidence: 99%

Ethical, pedagogical, socio-political and anthropological implications of quaternary prevention

Jamoulle

Roland

Bae

et al. 2018

Rev Bras Med Fam Comunidade

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The concept of quaternary prevention, resulting from a reflection on the doctor-patient relationship, is presented as a renewal of the age-old ethical requirement: first, a doctor must do no harm; second, the doctor must control himself/herself. The origin of the concept, its endorsement by the World Organization of Family Doctors (WONCA) and the European Union of General Practitioners (UEMO), its dissemination, and the debates to which it has given rise, are presented by a panel of authors from 10 countries. This collective text deals more specifically with: the bioethics of prevention, the importance of teaching Quaternary prevention and factual medicine, the social and political implications of the concept of quaternary prevention, and its anthropological dimensions.

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Development and application of patient decision aids

Cited by 8 publications

References 36 publications

Shared decision making: relevant concepts and facilitating strategies

Shared decision making: relevant concepts and facilitating strategies

Cultural adaptation of a patient decision-aid for insulin therapy

Ethical, pedagogical, socio-political and anthropological implications of quaternary prevention

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