Shared decision making

Establishing a hierarchy of total knee arthroplasty patients’ goals and its congruity to health professionals’ perceptions: a cohort study – Sascha Karunaratne et al.

2024-04-07T16:49:13+10:00Knee, Musculoskeletal, Osteoarthritis, Pain, Publications, Risk, Shared decision making, Surgery, Treatment|

This study established a hierarchy of the goals most important to patients, identifying key goals as improving mobility, reducing pain, and improving daily tasks. Health professionals involved in the recommendation of knee arthroplasty were generally found to be able to identify what patients wanted to [...]

Randomized Trial of Information for Older Women About Cessation of Breast Cancer Screening Invitations – Jenna Smith et al.

2024-04-07T15:44:27+10:00Ageing, Breast cancer, Cancer, Decision aids, Health literacy, Overdiagnosis, Publications, Screening, Shared decision making, Women's health|

Older women receive no information about why Australia’s breast screening program (BreastScreen) invitations cease after 74 years. We tested how providing older women with the rationale for breast screening cessation impacted informed choice (adequate knowledge; screening attitudes aligned with intention).

Factors influencing the implementation of early discharge hospital at home and admission avoidance hospital at home: a qualitative evidence synthesis – Jason A Wallis et al.

2024-04-07T12:50:24+10:00Ageing, Emergency Department, Health professionals, Health system, Publications, Shared decision making, Virtual Care/Telehealth|

Worldwide there is an increasing demand for Hospital at Home as an alternative to hospital admission. Although there is a growing evidence base on the effectiveness and cost‐effectiveness of Hospital at Home, health service managers, health professionals and policy makers require evidence on how to [...]

Qualitative and Quantitative Evaluation of an Innovative Primary and Secondary Diabetes Clinic in Western Sydney – Sumathy Ravi et al.

2024-04-05T15:56:55+11:00COVID-19, Diabetes, Primary Care, Publications, Shared decision making, Virtual Care/Telehealth|

Integrated care models such as this Community Diabetes Clinic can be feasible when enabled by virtual care. This case study demonstrated a promising integrated model that was acceptable to both health providers and patient with improved clinical outcomes. Future research could investigate the feasibility of [...]

Cutting back on low-value healthcare practices supports sustainable kidney care – Scott McAlister et al.

2024-04-05T15:12:07+11:00Carbon footprint, Carbon neutral, Climate change, Ethical considerations, Kidney, Low-value care, Publications, Shared decision making, Sustainable health care|

July 2023 marked the hottest month on record, underscoring the urgent need for action on climate change. The imperative to reduce carbon emissions extends to all sectors, including health care, with it being responsible for 5.5% of global emissions. In decarbonizing health care, although much [...]

Cardiovascular disease risk communication and prevention: a meta-analysis – Mina Bakhit et al.

2024-02-13T13:13:50+11:00Cardiovascular disease, Decision aids, Primary Care, Publications, Risk, Shared decision making|

For decades, clinicians and researchers have implemented effective measures to reduce, diagnose, and treat CVD. This includes implementing public education campaigns aimed at improving awareness of the potential preventability of CVDs and accessibility to management. Cardiovascular disease risk calculators to estimate individualized risk have also played a [...]

Challenges of conducting a randomised placebo-controlled trial of spinal surgery: the SUcceSS trial of lumbar spine decompression – Emma Kwan-Yee Ho et al.

2024-02-11T13:58:00+11:00Musculoskeletal, Placebos, Publications, Research ethics, Risk, Shared decision making, Spinal, Surgery|

Although placebo-controlled trials are considered the gold standard for evaluating the efficacy of healthcare interventions, they can be perceived to be controversial and challenging to conduct for surgical treatments. The SUcceSS trial is the first placebo-controlled trial of lumbar decompression surgery for symptomatic lumbar canal [...]

Journey to kidney transplantation: patient dynamics, suspensions, transplantation and deaths in the Australian kidney transplant waitlist – Nicole L De La Mata et al.

2023-12-04T13:37:50+11:00Health literacy, Kidney, Publications, Shared decision making, Surgery|

People on the kidney waitlist are less informed about potential suspensions. Disparities may exist among those who are suspended and who return to the waitlist. We evaluated the patient journey after entering the waitlist, including suspensions and outcomes, and factors associated with these transitions.

“We’re trained to trust our patients”: a qualitative study on the general practitioners’ trust in patients for colorectal cancer shared care – Faith R Yong et al.

2023-12-04T13:08:51+11:00Cancer, General Practice, Primary Care, Publications, Shared decision making|

In a therapeutic partnership, physicians rely on patients to describe their health conditions, join in shared decision-making, and engage with supported self-management activities. In shared care, the patient, primary care, and specialist services partner together using agreed processes and outputs for the patient to be [...]

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