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Shared Decision Making in Health CareAchieving evidence-based patient choice$
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Glyn Elwyn, Adrian Edwards, and Rachel Thompson

Print publication date: 2016

Print ISBN-13: 9780198723448

Published to Oxford Scholarship Online: September 2016

DOI: 10.1093/acprof:oso/9780198723448.001.0001

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Tools to engage patients in clinical encounters

Tools to engage patients in clinical encounters

Chapter:
(p.57) Chapter 10 Tools to engage patients in clinical encounters
Source:
Shared Decision Making in Health Care
Author(s):

Glyn Elwyn

Victor M. Montori

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198723448.003.0010

We refer to ‘encounter tools’ to draw a distinction from tools that have been primarily designed to give patients information prior to their visits to clinicians, (patient decision aids; PDAs) and which we consider to be pre-encounter tools. Although there is consistent evidence that pre-encounter PDAs increase patient knowledge, data showing that they lead to changes in communications is less robust and often based on response to a single survey item. There is no body of evidence from observational research that pre-encounter tools lead to shared decision making (SDM). Published evidence shows that tools designed to promote collaboration and deliberation facilitate SDM. Such tools must be based on high-quality synthesis of research evidence and be brief enough to use in conversations between patients and clinicians. Gathering more data about how to motivate clinicians to use these tools and get them embedded into clinical practice is the next task.

Keywords:   Encounter tools, patient decision aids, patient engagement, patient empowerment, collaborative deliberation

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