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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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Case study

Case study

Letting patients decide—A novel distribution strategy in primary care, Massachusetts General Hospital

Chapter:
(p.210) Chapter 32 Case study
Source:
Shared Decision Making in Health Care
Author(s):

Leigh Simmons

Lauren Leavitt

Karen Sepucha

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198723448.003.0032

Primary care providers at Massachusetts General Hospital (MGH) have been able to prescribe patient decision aids (PDAs) through the electronic medical record since 2005. However, several providers recognized that they did not always remember to order programs and were interested in new ways to get the tools to patients. This prompted a care redesign project with one primary care practice that engaged patients in self-ordering of decision aids. Over the course of six months, approximately 7% of patients ordered programs, and the most popular programs dealt with mental health issues. In contrast, during the same period providers ordered programs for about 3% of visits, with the most popular program being testing for prostate cancer. The results higlighted the need to elicit and address patients’ issues during annual visits, which can often get dominated by medical providers’ agenda.

Keywords:   Shared decision making, patient engagement, implementation, decision aids, MGH

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