creating a conversation insights from the development of a decision aid创建一个对话的见解的发展援助的决定.pdfVIP
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creating a conversation insights from the development of a decision aid创建一个对话的见解的发展援助的决定
Health in Action
Creating a Conversation: Insights
from the Development of a Decision Aid
*
Victor M. Montori , Maggie Breslin, Matthew Maleska, Audrey J. Weymiller
vidence-based medicine The Problem and administrative personnel. We
requires that clinical decisions Type 2 diabetes mellitus is a common intentionally invited nonclinicians with
Ebe consistent not only with the chronic condition associated with little or no knowledge or expectation
best available research evidence, but very high costs, both in resources as to what “normally” happens during
with the values and preferences of and in human suffering and lives [4]. diabetes visits with a specialist. After
the informed patient [1]. To achieve Cardiovascular events cause most a 30-minute training session about
this goal, clinicians and patients can of the diabetes-related deaths and deliberate observation, note taking,
use tools, known as decision aids, that disability, making the reduction of illustration (sketching, photography
prepare patients for decision making cardiovascular risk a focus of diabetes of materials), and “artifact” collection,
[2] or help clinicians assist patients in care [5]. Clinical trials have established among other tasks, we asked them to
participating in making decisions [3]. that lowering cholesterol with statins make observations about how patients
Our research group has recently can reduce the risk of cardiovascular and clinicians made decisions in a
completed the development
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