The Development and Application of Decision-Aided System for Patient_Chinese Journal of Evidence-Based Medicine

Authors：

 HEDian ¹ , ZHENYuan ¹ ,  ZHANSi-yan ²

1. Department of Epidemiology and Biostatistics, School of Public Health, Capital Medical University, Beijing 100069, China;
2. Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100401, China;

Corresponding?author：

ZHANSi-yan, Email: siyan-zhan@bjmu.edu.cn

Keywords：

Decision-aided system for patient; Evidence-based medicine; Development and application

DOI：

10.7507/1672-2531.20150242

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

With the transformation of bio-psycho-social medical mode and the development of evidence-based medicine, people gradually realize that the new concept, patient-centered, can improve health awareness, promote harmonious doctor-patient trust and improve the satisfaction of patients. In this context, decision-aided system for patient appeared. It aims to encourage individuals to make specific choices according to their personal values and preferences after grasping relevant information of healthcare options. In addition, to facilitate the shared decision making, the decision aid can also upgrade the quality of care and improve doctor-patient relationship. This article gives an overview of the development of decision-aided system for patient, what it contains, how to develop and assess it, and the way to use it.

Citation： HEDian, ZHENYuan, ZHANSi-yan. The Development and Application of Decision-Aided System for Patient. Chinese Journal of Evidence-Based Medicine, 2015, 15(12): 1484-1488. doi: 10.7507/1672-2531.20150242 Copy

1.	Vlemmix F, Warendorf JK, Rosman AN, et al. Decision aids to improve informed decision-making in pregnancy care:a systematic review. BJOG, 2013, 120(3):257-266.
2.	Fortnum D, Smolonogov T, Walker R, et al. 'My kidneys, my choice, decision aid':supporting shared decision making. J Ren Care, 2015, 41(2):81-87.
3.	Barry MJ. Resolving the decision aid paradox. JAMA Intern Med, 2015, 175(5):799-800.
4.	Sawka CA, Goel V, Mahut CA, et al. Development of a patient decision aid for choice of surgical treatment for breast cancer. Health Expect, 1998, 1(1):23-36.
5.	華志民, 陳強, 陳真, 等. 臨床決策輔助與根除幽門螺桿菌. 中華消化雜志, 2002, 22(1):49-50.
6.	Drug and Therapeutics Bulletin. An introduction to patient decision aids. BMJ, 2013, 347:f4147-f4147.
7.	Chewning B, Bylund CL, Shah B, et al. Patient preferences for shared decisions:a systematic review. Patient Educ Couns, 2012, 86(1):9-18.
8.	Degner LF, Kristjanson LJ, Bowman D, et al. Information needs and decisional preferences in women with breast cancer. JAMA, 1997, 277(18):1485-1492.
9.	Elwyn G. Developing a quality criteria framework for patient decision aids:online international Delphi consensus process. BMJ, 2006, 333(7565):417.
10.	詹思延. 流行病學. 第7版. 北京:人民衛生出版社, 2012.
11.	廖宗峰, 方漢萍, 劉洪娟. 病人決策輔助的研究現狀和進展. 護理研究, 2014, 28(12B):4360-4363.
12.	Lassman F, Henderson RC, Dockery L, et al. How Does a Decision Aid Help People Decide Whether to Disclose a Mental Health Problem to Employers? Qualitative Interview Study. J Occup Rehabil, 2015, 25(2):403-411.
13.	Barton JL, Koenig CJ, Evans-Young G, et al. The design of a low literacy decision aid about rheumatoid arthritis medications developed in three languages for use during the clinical encounter. BMC Med Inform Decis Mak, 2014, 14(1):104.
14.	Watts BV, Schnurr PP, Zayed M, et al. A randomized controlled clinical trial of a patient decision aid for posttraumatic stress disorder. Psychiatr Serv, 2015, 66(2):149-154.
15.	Shirley E, Bejarano C, Clay C, et al. Helping Families Make Difficult Choices:Creation and Implementation of a Decision Aid for Neuromuscular Scoliosis Surgery. J Pediatr Orthop, 2015, 35(8):831-837.
16.	Washington K, Shacklady C. Patients' Experience of Shared Decision Making Using an Online Patient Decision Aid for Osteoarthritis of the Knee-A Service Evaluation. Musculoskeletal Care, 2015, 13(2): 116-126.
17.	Hersch J, Jansen J, Barratt A, et al. Overdetection in breast cancer screening:development and preliminary evaluation of a decision aid. BMJ Open, 2014, 4(9):e006016.
18.	Eden KB, Perrin NA, Hanson GC, et al. Use of Online Safety Decision Aid by Abused Women:Effect on Decisional Conflict in a Randomized Controlled Trial. Am J Prev Med, 2015, 48(4):372-383.
19.	Spiegle G, Al-Sukhni E, Schmocker S, et al. Patient decision aids for cancer treatment. Cancer, 2013, 119(1):189-200.
20.	Brace C, Schmocker S, Huang H, et al. Physicians' awareness and attitudes toward decision aids for patients with cancer. J Clin Oncol, 2010, 28(13):2286-2292.
21.	Hill L, Mueller MR, Roussos S, et al. Opportunities for the use of decision aids in primary care. Fam Med, 2009, 41(5):350-355.
22.	張瓊文, 萬曉莉, 劉穎, 等. 病人參與臨床決策現狀調查與分析. 中國循證醫學雜志, 2010, 10(1):10-13.
23.	朱鳳霞. 病人的價值取向在診療決策中的作用. 醫學與哲學, 2006,27(14):6-8.
24.	丁媛. 中國病人參與治療決策影響因素論述研究. 東方企業文化, 2011, (22):166.
25.	馬麗莉, 何仲. 病人決策行為研究進展. 國外醫學護理學分冊, 2002, 21(8):350-352.
26.	馬麗莉, 何仲. 癌癥病人參與治療、護理決策的現狀研究. 中國實用護理雜志, 2005, 21(6A):10-12.
27.	Volk RJ, Llewellyn-Thomas H, Stacey D, et al. Ten years of the International Patient Decision Aid Standards Collaboration: evolution of the core dimensions for assessing the quality of patient decision aids. BMC Med Inform Decis Mak, 2013, 13 Suppl 2:p. S1.
28.	Knowing Your Options:A Decision Aid for Men With Clinically Localized Prostate Cancer. Available at:http://www.effectivehealthcare.ahrq.gov/ehc/decisionaids/prostate-cancer/LM5/pdfs/AboutTheDecisionAid.pdf Accessed June 3, 2015.
29.	Evans R, Elwyn G, Edwards A. Making interactive decision support for patients a reality. Inform Prim Care, 2004, 12(2):109-113.
30.	Goel V, Sawka CA, Thiel EC, et al. Randomized Trial of a Patient Decision Aid for Choice of Surgical Treatment for Breast Cancer. Med Decis Making, 2001, 21(1):1-6.
31.	Graham ID, Logan J, O'Connor A, et al. A qualitative study of physicians' perceptions of three decision aids. Patient Educ Couns, 2003, 50(3):279-83.

1. Vlemmix F, Warendorf JK, Rosman AN, et al. Decision aids to improve informed decision-making in pregnancy care:a systematic review. BJOG, 2013, 120(3):257-266.
2. Fortnum D, Smolonogov T, Walker R, et al. 'My kidneys, my choice, decision aid':supporting shared decision making. J Ren Care, 2015, 41(2):81-87.
3. Barry MJ. Resolving the decision aid paradox. JAMA Intern Med, 2015, 175(5):799-800.
4. Sawka CA, Goel V, Mahut CA, et al. Development of a patient decision aid for choice of surgical treatment for breast cancer. Health Expect, 1998, 1(1):23-36.
5. 華志民, 陳強, 陳真, 等. 臨床決策輔助與根除幽門螺桿菌. 中華消化雜志, 2002, 22(1):49-50.
6. Drug and Therapeutics Bulletin. An introduction to patient decision aids. BMJ, 2013, 347:f4147-f4147.
7. Chewning B, Bylund CL, Shah B, et al. Patient preferences for shared decisions:a systematic review. Patient Educ Couns, 2012, 86(1):9-18.
8. Degner LF, Kristjanson LJ, Bowman D, et al. Information needs and decisional preferences in women with breast cancer. JAMA, 1997, 277(18):1485-1492.
9. Elwyn G. Developing a quality criteria framework for patient decision aids:online international Delphi consensus process. BMJ, 2006, 333(7565):417.
10. 詹思延. 流行病學. 第7版. 北京:人民衛生出版社, 2012.
11. 廖宗峰, 方漢萍, 劉洪娟. 病人決策輔助的研究現狀和進展. 護理研究, 2014, 28(12B):4360-4363.
12. Lassman F, Henderson RC, Dockery L, et al. How Does a Decision Aid Help People Decide Whether to Disclose a Mental Health Problem to Employers? Qualitative Interview Study. J Occup Rehabil, 2015, 25(2):403-411.
13. Barton JL, Koenig CJ, Evans-Young G, et al. The design of a low literacy decision aid about rheumatoid arthritis medications developed in three languages for use during the clinical encounter. BMC Med Inform Decis Mak, 2014, 14(1):104.
14. Watts BV, Schnurr PP, Zayed M, et al. A randomized controlled clinical trial of a patient decision aid for posttraumatic stress disorder. Psychiatr Serv, 2015, 66(2):149-154.
15. Shirley E, Bejarano C, Clay C, et al. Helping Families Make Difficult Choices:Creation and Implementation of a Decision Aid for Neuromuscular Scoliosis Surgery. J Pediatr Orthop, 2015, 35(8):831-837.
16. Washington K, Shacklady C. Patients' Experience of Shared Decision Making Using an Online Patient Decision Aid for Osteoarthritis of the Knee-A Service Evaluation. Musculoskeletal Care, 2015, 13(2): 116-126.
17. Hersch J, Jansen J, Barratt A, et al. Overdetection in breast cancer screening:development and preliminary evaluation of a decision aid. BMJ Open, 2014, 4(9):e006016.
18. Eden KB, Perrin NA, Hanson GC, et al. Use of Online Safety Decision Aid by Abused Women:Effect on Decisional Conflict in a Randomized Controlled Trial. Am J Prev Med, 2015, 48(4):372-383.
19. Spiegle G, Al-Sukhni E, Schmocker S, et al. Patient decision aids for cancer treatment. Cancer, 2013, 119(1):189-200.
20. Brace C, Schmocker S, Huang H, et al. Physicians' awareness and attitudes toward decision aids for patients with cancer. J Clin Oncol, 2010, 28(13):2286-2292.
21. Hill L, Mueller MR, Roussos S, et al. Opportunities for the use of decision aids in primary care. Fam Med, 2009, 41(5):350-355.
22. 張瓊文, 萬曉莉, 劉穎, 等. 病人參與臨床決策現狀調查與分析. 中國循證醫學雜志, 2010, 10(1):10-13.
23. 朱鳳霞. 病人的價值取向在診療決策中的作用. 醫學與哲學, 2006,27(14):6-8.
24. 丁媛. 中國病人參與治療決策影響因素論述研究. 東方企業文化, 2011, (22):166.
25. 馬麗莉, 何仲. 病人決策行為研究進展. 國外醫學護理學分冊, 2002, 21(8):350-352.
26. 馬麗莉, 何仲. 癌癥病人參與治療、護理決策的現狀研究. 中國實用護理雜志, 2005, 21(6A):10-12.
27. Volk RJ, Llewellyn-Thomas H, Stacey D, et al. Ten years of the International Patient Decision Aid Standards Collaboration: evolution of the core dimensions for assessing the quality of patient decision aids. BMC Med Inform Decis Mak, 2013, 13 Suppl 2:p. S1.
28. Knowing Your Options:A Decision Aid for Men With Clinically Localized Prostate Cancer. Available at:http://www.effectivehealthcare.ahrq.gov/ehc/decisionaids/prostate-cancer/LM5/pdfs/AboutTheDecisionAid.pdf Accessed June 3, 2015.
29. Evans R, Elwyn G, Edwards A. Making interactive decision support for patients a reality. Inform Prim Care, 2004, 12(2):109-113.
30. Goel V, Sawka CA, Thiel EC, et al. Randomized Trial of a Patient Decision Aid for Choice of Surgical Treatment for Breast Cancer. Med Decis Making, 2001, 21(1):1-6.
31. Graham ID, Logan J, O'Connor A, et al. A qualitative study of physicians' perceptions of three decision aids. Patient Educ Couns, 2003, 50(3):279-83.

Previous Article
The Off-Label Drug Use of Bevacizumab for Eye Diseases: The Perspective of Evidence-based Medicine

Chinese Journal of Evidence-Based Medicine

The Development and Application of Decision-Aided System for Patient

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Format

Content