Are Patient Decision Aids the Best Way to Improve Clinical Decision Making? Report of the IPDAS Symposium

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 cli...

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Bibliographic Details
Published in:Medical decision making 2007-09, Vol.27 (5), p.599-608
Main Authors: Holmes-Rovner, Margaret, Nelson, Wendy L., Pignone, Michael, Elwyn, Glyn, Rovner, David R., O'Connor, Annette M., Coulter, Angela, Correa-de-Araujo, Rosaly
Format: Article
Language:English
Subjects:
Behavior
Care and treatment
Conferences, meetings and seminars
Congresses as Topic
Decision Support Techniques
Decision-making
Evaluation
Evidence-Based Medicine
Humans
Influence
Massachusetts
Methods
Patient Participation
Patients
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Summary: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.
ISSN:0272-989X
1552-681X
DOI:10.1177/0272989X07307272