A decision-support tool for assessing patient-centered decision-making under uncertainty.
The aim of this research was to create and evaluate a decision aid to support a patient's ability to share in decision making, where the options available have uncertain benefits and potential harms. A color-coded matrix was used as the decision aid where randomly placed cells representing benefits,...
| Publicado en: | International Public Health Journal Vol. 13; no. 2; pp. 203 - 212 |
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| Autores principales: | , |
| Formato: | pictorial questionnaire/scale research tables/charts Journal Article |
| Publicado: |
Nova Science Publishers, Inc.
2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | The aim of this research was to create and evaluate a decision aid to support a patient's ability to share in decision making, where the options available have uncertain benefits and potential harms. A color-coded matrix was used as the decision aid where randomly placed cells representing benefits, harms, and neutral outcomes in quantities corresponding to their respective likelihoods. An iterative approach generated an indifference point for a set of hypothesized decision scenarios. Forty-eight study participants were asked their preferences across 12 hypothesized cancer screening testing decisions. Plots of each participant's indifference curve and regions for accepting or rejecting a screening test regimen were used to illustrate how the method can be applied, and to illustrate that some participants' decision process was irrational. The decision aid provides a useful mechanism for communicating uncertain medical outcomes to patients. It can use helpful to assist in the implementation of patient-centered medical decision making. It can also identify patients who cannot effectively interpret information in a rational manner. |
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