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cdsic.ahrq.gov/cdsic/Angela-Dobes
advancing patient-centered research and is passionate about ensuring research, care interventions, and treatments … various technology solutions focused on business optimization and accelerating the delivery of new therapies
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cdsic.ahrq.gov/sites/default/files/2024-09/SRF_Patient%20Preference%20Standardization%20Priorities_508.pdf
January 01, 2024 - patient preferences is a key component of patient-centered care and
can improve adherence to prescribed therapies … Initially, she opted for a series of
treatments including chemotherapy and surgery,
but eventually, … she decided to prioritize her
quality of life over additional treatments. … preferences), and treatment
preferences regarding tolerance for disease-specific treatments may be … side effects, support services, lifestyle
changes, alternative therapies, managing
finances, etc
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cdsic.ahrq.gov/sites/default/files/2025-03/Copy%20of%20Final_MO_Patient%20Preference%20Inventory_6.7.24_508.xlsx
January 01, 2025 - side effects, support services, lifestyle changes, alternative therapies, managing finances, etc.)
• … side
effects, support services, lifestyle changes,
alternative therapies, managing finances,
etc.)
• … The PNQ assesses individual importance of treatment objectives, reflecting the preferences of therapeutic … the choice between two different treatments. … Treatment options include: (1) hand therapy and orthosis, (2) corticosteroid injection, and (3) open
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cdsic.ahrq.gov/sites/default/files/2024-06/Copy%20of%20Final_MO_Patient%20Preference%20Inventory_6.7.24_508_0.xlsx
January 01, 2024 - side effects, support services, lifestyle changes, alternative therapies, managing finances, etc.)
• … side
effects, support services, lifestyle changes,
alternative therapies, managing finances,
etc.)
• … The PNQ assesses individual importance of treatment objectives, reflecting the preferences of therapeutic … the choice between two different treatments. … Treatment options include: (1) hand therapy and orthosis, (2) corticosteroid injection, and (3) open
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cdsic.ahrq.gov/sites/default/files/2025-03/Final_MO_Patient%20Preference%20Report_6.7.24.pdf
January 01, 2025 - Additionally, patient
education may be required prior to eliciting preferences on treatments to ensure … POLST forms, a medical form completed by patients to
indicate preferences around end-of-life care and treatments … side effects, support services,
lifestyle changes, alternative
therapies, managing finances,
etc … your doctor provides care)
Healthcare
Services
Prevention • Receipt of preventive services,
treatments … Assessment of Preferences for Treatment:
Validation of a Measure.
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cdsic.ahrq.gov/sites/default/files/2024-08/TPC%20Patient%20Preferences%20Workflow%20Lifeflow_8.15.2.pdf
January 01, 2024 - Key
informants emphasized that for some more significant treatments, such as the choice of breast cancer … • Treatment Preferences: Patients’ preferences on the course of treatment they will receive (e.g. … and engagement preferences
related to anticoagulation therapy with their clinician. … Individual trade-offs between possible benefits and risks of
cancer treatments: results from a stated … Clinical Scenario 3: Discussing Medication Therapy Choices
4.4.
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cdsic.ahrq.gov/sites/default/files/2025-03/SRF%20Standards%20for%20Patient%20Preferences.pdf
January 01, 2025 - Prevention Receipt of preventive services,
treatments, or programs (e.g.,
vaccines)
Receipt of … preferences regarding aggressive therapies).108
Some concepts may be best captured in an unstructured … side
effects, support services, lifestyle changes, alternative therapies,
managing finances, etc.) … Complementary therapy (regime/therapy). Accessed June 27, 2023. … Changes over time in patient stated values and
treatment preferences regarding aggressive therapies:
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cdsic.ahrq.gov/sites/default/files/2024-06/Final_MO_Patient%20Preference%20Report_6.7.24_0.pdf
January 01, 2024 - Additionally, patient
education may be required prior to eliciting preferences on treatments to ensure … , a medical form completed by patients to
13
indicate preferences around end-of-life care and treatments … side effects,
support services, lifestyle changes,
alternative therapies, managing
finances, etc … Concepts Relevance to PC CDS
Healthcare
Services
Prevention • Receipt of preventive services,
treatments … Assessment of Preferences for Treatment:
Validation of a Measure.
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cdsic.ahrq.gov/sites/default/files/2023-09/SRF%20Standards%20for%20Patient%20Preferences.pdf
January 01, 2023 - Prevention Receipt of preventive services,
treatments, or programs (e.g.,
vaccines)
Receipt of … preferences regarding aggressive therapies).117
Some concepts may be best captured in an unstructured … side
effects, support services, lifestyle changes,
alternative therapies, managing finances, etc.) … Complementary therapy (regime/therapy). Accessed June 27, 2023. … Changes over time in patient stated values and
treatment preferences regarding aggressive therapies:
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cdsic.ahrq.gov/sites/default/files/2023-07/Updated_OOPatientPreferenceTaxonomy.pdf
January 01, 2023 - health
outcomes and/or medical treatments, and treatment intention or treatment undergone.”7
Separately … side
effects, support services, lifestyle changes,
alternative therapies, managing finances,
etc. … prognosis or progression of disease.138,139 That is, a risk averse patient may prefer not to undergo
therapy … serious side effects when they have an optimistic prognosis, but they
may change their preference for therapy … , and treatment intention or treatment undergone.”7
Decision quality
“The extent to which treatments
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cdsic.ahrq.gov/cdsic/clinicians
New, innovative treatments and improved interventions are developed daily, and it can be difficult for
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cdsic.ahrq.gov/sites/default/files/2023-09/FINAL%20OO%20PC%20CDS%20SDM%20Report.pdf
January 01, 2023 - Now on dialysis;
unhappy with current
treatment option. … Website Provides treatment
information based on
patient-entered treatment
preferences and then
patients … Women with breast
cancer
App Provides risk, benefits,
recovery timelines based
on therapy option … J Adv Nurs. 2008;62(1):107-15. doi: 10.1111/j.1365-
2648.2007.04569.x
25 Drug and Therapeutics Bulletin … Decision aids for people facing health treatment or screening decisions.
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cdsic.ahrq.gov/sites/default/files/2024-09/CDSiC%20Infographic%202024_508.pdf
January 01, 2024 - consequences of care provided or
refused, such as receipt of preventive
care, receipt of results, treatment … to which
actions taken comply with the patient’s stated
preferences have focused on measures of
treatment-preference
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cdsic.ahrq.gov/sites/default/files/2025-03/CDSiC%20Infographic%202024_508.pdf
January 01, 2025 - consequences of care provided or
refused, such as receipt of preventive
care, receipt of results, treatment … to which
actions taken comply with the patient’s stated
preferences have focused on measures of
treatment-preference
-
cdsic.ahrq.gov/sites/default/files/2024-09/CDSiC%20Infographic%202024_508_0.pdf
January 01, 2024 - consequences of care provided or
refused, such as receipt of preventive
care, receipt of results, treatment … to which
actions taken comply with the patient’s stated
preferences have focused on measures of
treatment-preference
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cdsic.ahrq.gov/sites/default/files/2023-10/Final%20OO%20Patient%20Outcomes%20of%20PC%20CDS%20to%20AHRQ%2010.6.23.pdf
January 01, 2023 - Decision Quality is “the extent to which treatments reflect the considered
preferences of well-informed … Adherence to Long-term Therapies Evidence for Action. Ann Saudi Med. 2004;24(3):221-222. … automated pharmacy records, and pill counts with electronic
monitoring of adherence to antihypertensive therapy … risk decision support in primary care:
Computerization of Medical Practices for the Enhancement of Therapeutic … Drivers of Emergency Department Use Among Oncology Patients in the Era of Novel
Cancer Therapeutics:
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cdsic.ahrq.gov/sites/default/files/2024-07/Final%20MO%20Patient%20Prioritization%20of%20Measurement%20Areas%207.18.24.pdf
January 01, 2024 - or what types of treatments they receive. … overly complex language used during clinical
encounters and incomplete information about diagnoses or treatments … For
example, when clinicians make
recommendations, they should consider the cost
of recommended treatments … ability to choose a treatment. … outcomes that do not capture this intricacy may miss important elements impacting
patients’ adherence to treatments
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cdsic.ahrq.gov/sites/default/files/2023-09/SMD%20PC%20CDS%20Performance%20Measurement%20Inventory_FINAL_9.19.23.xlsx
January 01, 2023 - Seven binary outcomes measured completion of recommended clinical tasks: prescription of rescue therapy … , prescription of maintenance therapy, pulmonary rehabilitation, lung cancer screening, pneumonia vaccination … Development and validation of the functional assessment of chronic illness therapy treatment satisfaction … /cancers12041032
Results Clinical guidance adherence Clinical guideline adherence Number of tests/treatments … Enhancing treatment decision-making: pilot study of a treatment decision aid in stage IV non-small cell
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cdsic.ahrq.gov/cdsic/patients
When faced with questions about what kind of treatment to pursue, clinicians use decision support tools … (e.g., clinical guidelines for treatment approaches) that provide them with the latest evidence and
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cdsic.ahrq.gov/sites/default/files/2024-09/Final%20IAS%20PC%20CDS%20Case%20Studies%20Report_2.pdf
January 01, 2024 - Differing Clinical Treatment Practices. … One project experienced low
patient uptake of the clinical treatment recommendations because patients … • Use: Promotes shared decision
making between clinicians and
patients by aiding in treatment plan … guidelines, and 3) insufficient CDS
tools to aid clinical decision making for treatment recommendations … to 70 percent for those related to diagnosis and monitoring, to 100
percent for non-pharmacologic treatments