Question

Asked 9th Mar, 2016

University of Western Australia

Can anyone suggest resources to help guideline authors to include patient values/shared decision-making in guidelines? Or examples of it done well?

I'm on the editorial panel of a set of guidelines for rational use of diagnostic imaging: http://imagingpathways.health.wa.gov.au/ It is quite algorithmic in style and I feel that sometimes in "grey areas" it offers apparently black-and-white advice on whether to image or not. I wonder if in some of these cases we might more explicitly suggest clinicians discuss the low probability of meaningful yield from investigating, and tailor the decision to the patient's own values. I wonder, if we decide to try to do that, how it might best be done. Any examples or suggestions would be welcome.

Diagnostic Imaging

Shared Decision Making

Kristina B. Blyer

James Madison University

I believe there would be value in explaining the probability and meaning to patients. We starting doing this for the treatment of respiratory tract infections for college students and are seeing good results. If you have not already, I would suggest the Ottawa Research Institute website on Shared Decision Making. https://decisionaid.ohri.ca/index.html They have examples of decision aids that are already available and international guidelines for development of new aids. Some of the decision aids are copyrighted; however, I have found the authors to be very open to sharing their tools and knowledge. Good luck!

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