-
effectivehealthcare-admin.ahrq.gov/sites/default/files/fraenkel.pdf
December 26, 2012 - preformed
“informed” preferences
• Advocates of SDM have addressed this need by
developing
decision … support tools
Slide 3: Tools
• Decision support tools cover many options
• The tools differ:
o … Amount of information
o Testimonials
o Value clarification
o Quantify preferences
Slide 4: Decision … Tree
The decision tree
shows
2 branches:
• Option 1 has two branches: 99% healthy; 1% dead. … Slide 16: ACA as
a decision tool:
• Process: e.g.
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-decision-models_methods.pdf
July 01, 2012 - In this particular example, the systematic reviewers performed decision modeling. … Assessing
quality in decision analytic cost-effectiveness
models. … How to use a
clinical decision analysis. B. … How to use a
clinical decision analysis. A. Are the results of
the study valid? … Decision analytic modelling in the economic
evaluation of health technologies.
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/use_of_handheld_ebell_presentation.pdf
January 01, 2009 - index.cfm)
Slide
1:
Use
of
handheld
devices
for
point
of
care
decision … The
Context
• Medical
knowledge
base
has
exploded
• Complexity
of
decision … support
tools
• Many
have
potential
to
improve
shared
decision-‐making … complex
for
easy
point
of
care
use
Slide
5:
What
are
Handheld
Decision … • Subset
of
decision
support
tools
designed
for
handheld
computers
(e.g.
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/module_i1.ppt
October 31, 2011 - One approach to increasing the uptake and utilization of evidence by decision-makers is to engage these … Similarly, decision-makers need to know which research products are applicable to the dilemmas they face … The theory of knowledge exchange posits that investigators and decision-makers are normally separate … Involving stakeholder decision-makers in research processes allows for the exchange necessary to provide … And, it increases the application of evidence to practice, policy and decision making (Graham et al.,
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/siminoff_eccs2012.pdf
January 01, 2012 - Source: Eisenberg Center Conference Series 2012: Supporting Informed and Shared Decision Making When … in Health Care Decisions
• Surrogates
o Pediatrics
o End of life
• Families as auxiliary decision … Source: Eisenberg Center Conference Series 2012: Supporting Informed and Shared Decision Making When … Source: Eisenberg Center Conference Series 2012: Supporting Informed and Shared Decision Making When … Source: Eisenberg Center Conference Series 2012: Supporting Informed and Shared Decision Making When
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/methods-future-presentation-format_research.pdf
January 01, 2019 - The
set of suboptimal choices represents the opportunity cost associated with the decision. … The opportunity cost is high when there is
a great deal of uncertainty around the decision, or low … The case of
electronic fetal monitoring
1981 Med Decis Making
9357611 Decision-analytic valuation … The REFLUX
trial
2008 Health Technol Assess
18522663 Decision-Analytic Modeling to Assist Decision … 2005 Health Aff (Millwood)
15693724 Role of pharmacoeconomic analysis in R&D decision
making: when
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/ced-topic-refinement.pdf
November 01, 2022 - to defer the coverage decision to a Medicare Administrative
Contractor (MAC). … We
added “safely and efficiently for
decision making by CMS.”
L. … was made based on the generated evidence, as well as what the
decision was. … 28
decision and this may require a more traditional clinical trial. … RWE for Regulatory Decision Making.
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/cf__deliberativemethodswebinar_deliberativemethodsexperiment.pdf
June 01, 2012 - evidence base on public deliberation
─ Obtain public input on the use of evidence in healthcare
decision-making … that are trustworthy to the public
Deliberative topic in detail: use of evidence in
healthcare decision-making … appropriate roles of providers, patients, purchasers, and
government regarding using evidence in healthcare decision … Background & objectives of experiment
Deliberative topic in detail: use of evidence in healthcare decision-making
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/mccormack-presentation.pdf
November 12, 2015 - Also adding video and
interactivity in
decision
aids is something to be cognizant of
and
… .
14
Here is another example
of a decision
aid; this one showing along the top, the steps … It helps them think through where they are in this
process. ofmaking a decision
about getting a breast … So, we need
to be prepared
to take shared
decision
making to a new level and
think
about … to
clinicians so they can engage in shared decision-‐making; upgradingour healthcare
and
health
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/fagerlin-presentation.pdf
November 11, 2015 - Fagerlin-notes-151007 copy-Teresa
When
we talk about patient engagement and
shared
decision … And if they said “Yes, in the last 2 years,” then we asked them
about their
decision-‐making experience … It was the perfect decision
aid, of course. … Affect and
emotion
can
influence decision-‐making as well
as anecdotes, things they see … S o, these decision
tools that were designed
to help
people, who have the lowest literacy,
-
effectivehealthcare-admin.ahrq.gov/products/asthma-provider-adherence/research
December 01, 2019 - We classified studies as assessing eight types of interventions: decision support, organizational change … There was moderate evidence for increased prescriptions of asthma controller medications using decision … Moderate evidence supports the use of decision support and clinical pharmacy interventions to increase … Moderate grade evidence supports use of decision support tools to reduce ED visits/hospitalizations while … Conclusions
There is low to moderate evidence to support the use of decision support tools, feedback
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/investing_mittman_respondent.pdf
January 01, 2009 - Theory
for
evaluation,
understanding
Slide
4:
Narrative
and
Models
of
Decision … Making
• What
is
a
decision?
… • What
is
a
good
decision?
• How
do
we
improve
decisions?
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/santa_eccs2012.pdf
February 01, 2013 - Health Actions Not To Do: Lessons for
Consumer Decision-‐Making.
… • Decision aids
can help. … Source: Eisenberg Center Conference Series 2012: Supporting Informed and Shared Decision Making When … Source: Eisenberg Center Conference Series 2012: Supporting Informed and Shared Decision Making When … Source: Eisenberg Center Conference Series 2012: Supporting Informed and Shared Decision Making When
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/decision-models-guidance-160915.pdf
August 10, 2017 - Interactive Patient Decision Aids
Sign Up for Effective Health Care News
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/cer-216-telehealth-evidence-summary.pdf
April 01, 2019 - Purpose of Review
To assess the effectiveness of telehealth consultations and
explore supplemental decision … Both systematic reviews and decision
analyses have accepted methodologies, but they
are not frequently … analysis might be used to increase the
utility of evidence for decision makers. … The model was built as a decision tree. … There are also limitations to the review process and
decision modeling.
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/cf_deliberativemethodswebinar_goalsetting.pdf
May 18, 2012 - Skills
Second-
Order Goals
• Individual/
Community
Action
• Improved
Institutional
Decision … of
expectations
• Articulate topic &
questions
• Build facilitation
capacity
• Connect to decision … Establish written
documentation of
deliberations and action
steps
• Expose other stakeholders
and decision-makers
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/diabetes-mobile-devices_research-protocol.pdf
July 12, 2017 - This type of product could promote the use of evidence about effectiveness of mHealth in
decision-making … Types of translational products that fit this description include interactive decision aids; narrative … will use principles of decision analysis methodology to 1) identify who the decision-makers are
and … Available at:
http://effectivehealthcare.ahrq.gov/tools-and-resources/patient-decision-aids/lung-cancer … Foundations of decision analysis. Pearson; 2015.
-
effectivehealthcare-admin.ahrq.gov/products/respectful-maternity-care/research
October 01, 2024 - However, the intrapartum version of the Mother's Autonomy in Decision-Making (MADM) and Mothers On Respect … measure RMC incorporated themes of privacy, dignity, respect, autonomy, and communication or shared decision … staff, patients and families) was not specifically described as part of an RMC tool; however, shared decision … The intrapartum version of the Mother’s Autonomy in Decision-Making (MADM), Mothers On Respect index … Research
White Paper
Apr 16, 2021
Improving the Utility of Evidence Synthesis for Decision
-
effectivehealthcare-admin.ahrq.gov/products/collections/methods-guidance-tests
August 01, 2021 - Topic and Structuring Systematic Reviews of Medical Tests: Utility of PICOTS, Analytic Frameworks, Decision … topic and structuring systematic reviews of medical tests: utility of PICOTS, analytical frameworks, decision … Chapter 10: Deciding Whether To Complement a Systematic Review of Medical Tests With Decision Modeling … Chapter 10: Deciding whether to complement a systematic review of medical tests with decision modeling … Topic and Structuring Systematic Reviews of Medical Tests: Utility of PICOTS, Analytic Frameworks, Decision
-
effectivehealthcare-admin.ahrq.gov/products/pilot-projects/white-paper
January 01, 2025 - Quality (AHRQ), through the Evidence-based Practice Center (EPC) Program, aims to provide health system decision … challenges of utilizing health system data to augment SR findings to support confidence in healthcare decision … Evidence
White Paper
Apr 16, 2021
Improving the Utility of Evidence Synthesis for Decision