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First published on September 14, 2007, doi:10.1177/0272989X07307272
Medical Decision Making 2007;27:599.
A more recent version of this article appeared on October 1, 2007
Are Patient Decision Aids the Best Way to Improve Clinical Decision Making? Report of the IPDAS Symposium
Margaret Holmes-Rovner PhD, PhD*,
Wendy L. Nelson, PhD,
Michael Pignone, MD, MPH,
Glyn Elwyn, PhD, FRCGP,
David R. Rovner, MD,
Annette M. O'Connor, PhD, RN,
Angela Coulter, PhD,
and
Rosaly Correa-de-Araujo, MD, MSc, PhD
* To whom correspondence should be addressed. E-mail: Margaret.HolmesRovner{at}ht.msu.edu.
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Abstract |
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This article reports on the International Patient Decision Aid Standards Symposium held in 2006 at the annual meeting of the Society for Medical Decision Making in Cambridge, Massachusetts. The symposium featured a debate regarding the proposition that ‘‘decision aids are the best way to improve clinical decision making.’’ The formal debate addressed the theoretical problem of the appropriate gold standard for an improved decision, efficacy of decision aids, and prospects for implementation. Audience comments and questions focused on both theory and practice: the often unacknowledged roots of decision aids in expected utility theory and the practical problems of limited patient decision aid implementation in health care. The participants’ vote on the proposition was approximately half for and half against. Key words: patient decision aids; decision support; decision analysis; evidence-based medicine; values clarification. (Med Decis Making 2007;XX:xx–xx)
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