Physician-Peer Relationships and Patient Experiences With Specialist Care

Preview — IMPORTANCE: Peer relationships may motivate physicians to aspire to high professional standards but have not been a major focus of quality improvement efforts. OBJECTIVE: To determine whether peer relationships between primary care physicians (PCPs) and specialists formed during training motivate improved specialist care for patients. Download Article

Decision aids that facilitate elements of shared decision making in chronic illnesses: a systematic review

Preview — Background: Shared decision making (SDM) is a patient-centered approach in which clinicians and patients work together to find and choose the best course of action for each patient’s particular situation. Six SDM key elements can be identified: situation diagnosis, choice awareness, option clarification, discussion of harms and benefits, deliberation of patient preferences, and making…

Values and Preferences of Patients and Caregivers Regarding Treatment of Atopic Dermatitis (Eczema) A Systematic Review

Preview — Importance Patient values and preferences can inform atopic dermatitis (AD) care. Systematic summaries of evidence addressing patient values and preferences have not previously been available. Objective To inform American Academy of Allergy, Asthma & Immunology (AAAAI)/American College of Allergy, Asthma and Immunology (ACAAI) Joint Task Force on Practice Parameters AD guideline development, patient and…

Shared Decision-Making for a Dialysis Modality

Preview — The prevalence of kidney failure continues to rise globally. Dialysis is a treatment option for individuals with kidney failure; after the decision to initiate dialysis has been made, it is critical to involve individuals in the decision on which dialysis modality to choose. This review, based on evidence arising from the literature, examines the…

Shared Decision Making in Organ Transplantation

Preview — Shared Decision Making (SDM) is a model of patient-provider communication stressing communication and joint participation in healthcare decisions to provide mutually agreed upon treatment. Although SDM is known to contribute to patient knowledge and satisfaction, increased adherence, and lower healthcare costs in other clinical contexts, it has not been examined in solid organ transplantation.…

A 4-Step Framework for Shared Decision-making in Pediatrics

Preview — Shared decision-making (SDM) is a well-established component of patient-centered care, and yet, its application in pediatrics is poorly understood. Common features of pediatric decision-making are not completely addressed in current SDM models, such as the fact that the principal SDM participant is the patient’s surrogate, who, unlike competent adult patients deciding for themselves, has…

Can shared decision making address COVID-19 vaccine hesitancy?

Preview — The COVID-19 pandemic continues to affect millions of people worldwide. While hygiene, behavioral measures and government-driven restrictions are in place, a globally implemented vaccination program shows promise at mitigating the levels of illness and mortality caused by the virus. View Article

A generic tool for development of decision aids based on clinical practice guidelines

Preview — Patient involvement in medical decision making has been suggested to contribute to patients’ satisfaction and better patient outcomes. Decision aids are particularly useful for preference-sensitive decisions. Ideally, these should be based on up-to-date evidence-based guidelines. The objective of this project was to develop a generic format for development and maintenance of decision aids based…