Should Guidelines Incorporate Evidence on Patient Preferences?

Journal of General Internal Medicine (Impact Factor: 3.42). 09/2009; 24(8):988-90. DOI: 10.1007/s11606-009-1055-0
Source: PubMed
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Available from: Craig A Umscheid
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    • "While there is evidence to suggest that the public now has a much higher expectation of the quality of service provided, is better educated and 'consumerist' , and requires more information and greater involvement in decisions about treatments, in everyday practice this rarely happens (Towle 2000). Recent research in primary care suggests that the power imbalance remains, with fewer than 10% of encounters meeting basic criteria for informed decision-making, such as discussion of the nature of the decision and asking patients for their preferences (Braddock et al. 1999; Craig and Umscheid 2009). Involvement in end-of-life decision-making is paramount. "

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