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Developing a patient-centered medical home: synopsis and comment on “Patient preferences for shared decisions: a systematic review”

ABSTRACT  

The seventh column on Evidence-Based Behavioral Medicine synopsizes a systematic review by Chewning and colleagues (Pat Educ
Couns 86:9–18, 2012) on patient preferences for shared decision-making regarding treatment and screening. A total of 115 studies were included
in the final analyses. In 63 % of studies, a majority of patients preferred sharing decisions with their primary care physician,
as opposed to delegating health decisions to their provider. A time trend appeared such that in studies published more recently,
a greater percentage of patients, particularly cancer patients, preferred sharing decisions. Further research should seek
to better understand how the decision making of specific patient populations is influenced by life course changes and secular
trends. Longitudinal studies can help to elucidate how patient decision-making preferences evolve over the course of illness
and health status changes in different medical conditions.

  • Content Type Journal Article
  • Category EBBM Column
  • Pages 1-2
  • DOI 10.1007/s13142-012-0154-3
  • Authors
    • Jeremy Steglitz, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, USA
    • Joanna Buscemi, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, USA
    • Bonnie Spring, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, USA
    • Journal Translational Behavioral Medicine
    • Online ISSN 1613-9860
    • Print ISSN 1869-6716
Posted in: Meta-analyses - Systematic Reviews on 08/07/2012 | Link to this post on IFP |
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