The Development and Application of Decision-Aided System for Patient_Chinese Journal of Evidence-Based Medicine

Authors：

 HEDian ¹ , ZHENYuan ¹ ,  ZHANSi-yan ²

1. Department of Epidemiology and Biostatistics, School of Public Health, Capital Medical University, Beijing 100069, China;
2. Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100401, China;

Corresponding author：

ZHANSi-yan, Email: siyan-zhan@bjmu.edu.cn

Keywords：

Decision-aided system for patient; Evidence-based medicine; Development and application

DOI：

10.7507/1672-2531.20150242

Video：

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With the transformation of bio-psycho-social medical mode and the development of evidence-based medicine, people gradually realize that the new concept, patient-centered, can improve health awareness, promote harmonious doctor-patient trust and improve the satisfaction of patients. In this context, decision-aided system for patient appeared. It aims to encourage individuals to make specific choices according to their personal values and preferences after grasping relevant information of healthcare options. In addition, to facilitate the shared decision making, the decision aid can also upgrade the quality of care and improve doctor-patient relationship. This article gives an overview of the development of decision-aided system for patient, what it contains, how to develop and assess it, and the way to use it.

Citation： HEDian, ZHENYuan, ZHANSi-yan. The Development and Application of Decision-Aided System for Patient. Chinese Journal of Evidence-Based Medicine, 2015, 15(12): 1484-1488. doi: 10.7507/1672-2531.20150242 Copy

1.	Vlemmix F, Warendorf JK, Rosman AN, et al. Decision aids to improve informed decision-making in pregnancy care:a systematic review. BJOG, 2013, 120(3):257-266.
2.	Fortnum D, Smolonogov T, Walker R, et al. 'My kidneys, my choice, decision aid':supporting shared decision making. J Ren Care, 2015, 41(2):81-87.
3.	Barry MJ. Resolving the decision aid paradox. JAMA Intern Med, 2015, 175(5):799-800.
4.	Sawka CA, Goel V, Mahut CA, et al. Development of a patient decision aid for choice of surgical treatment for breast cancer. Health Expect, 1998, 1(1):23-36.
5.	华志民, 陈强, 陈真, 等. 临床决策辅助与根除幽门螺杆菌. 中华消化杂志, 2002, 22(1):49-50.
6.	Drug and Therapeutics Bulletin. An introduction to patient decision aids. BMJ, 2013, 347:f4147-f4147.
7.	Chewning B, Bylund CL, Shah B, et al. Patient preferences for shared decisions:a systematic review. Patient Educ Couns, 2012, 86(1):9-18.
8.	Degner LF, Kristjanson LJ, Bowman D, et al. Information needs and decisional preferences in women with breast cancer. JAMA, 1997, 277(18):1485-1492.
9.	Elwyn G. Developing a quality criteria framework for patient decision aids:online international Delphi consensus process. BMJ, 2006, 333(7565):417.
10.	詹思延. 流行病学. 第7版. 北京:人民卫生出版社, 2012.
11.	廖宗峰, 方汉萍, 刘洪娟. 病人决策辅助的研究现状和进展. 护理研究, 2014, 28(12B):4360-4363.
12.	Lassman F, Henderson RC, Dockery L, et al. How Does a Decision Aid Help People Decide Whether to Disclose a Mental Health Problem to Employers? Qualitative Interview Study. J Occup Rehabil, 2015, 25(2):403-411.
13.	Barton JL, Koenig CJ, Evans-Young G, et al. The design of a low literacy decision aid about rheumatoid arthritis medications developed in three languages for use during the clinical encounter. BMC Med Inform Decis Mak, 2014, 14(1):104.
14.	Watts BV, Schnurr PP, Zayed M, et al. A randomized controlled clinical trial of a patient decision aid for posttraumatic stress disorder. Psychiatr Serv, 2015, 66(2):149-154.
15.	Shirley E, Bejarano C, Clay C, et al. Helping Families Make Difficult Choices:Creation and Implementation of a Decision Aid for Neuromuscular Scoliosis Surgery. J Pediatr Orthop, 2015, 35(8):831-837.
16.	Washington K, Shacklady C. Patients' Experience of Shared Decision Making Using an Online Patient Decision Aid for Osteoarthritis of the Knee-A Service Evaluation. Musculoskeletal Care, 2015, 13(2): 116-126.
17.	Hersch J, Jansen J, Barratt A, et al. Overdetection in breast cancer screening:development and preliminary evaluation of a decision aid. BMJ Open, 2014, 4(9):e006016.
18.	Eden KB, Perrin NA, Hanson GC, et al. Use of Online Safety Decision Aid by Abused Women:Effect on Decisional Conflict in a Randomized Controlled Trial. Am J Prev Med, 2015, 48(4):372-383.
19.	Spiegle G, Al-Sukhni E, Schmocker S, et al. Patient decision aids for cancer treatment. Cancer, 2013, 119(1):189-200.
20.	Brace C, Schmocker S, Huang H, et al. Physicians' awareness and attitudes toward decision aids for patients with cancer. J Clin Oncol, 2010, 28(13):2286-2292.
21.	Hill L, Mueller MR, Roussos S, et al. Opportunities for the use of decision aids in primary care. Fam Med, 2009, 41(5):350-355.
22.	张琼文, 万晓莉, 刘颖, 等. 病人参与临床决策现状调查与分析. 中国循证医学杂志, 2010, 10(1):10-13.
23.	朱凤霞. 病人的价值取向在诊疗决策中的作用. 医学与哲学, 2006,27(14):6-8.
24.	丁媛. 中国病人参与治疗决策影响因素论述研究. 东方企业文化, 2011, (22):166.
25.	马丽莉, 何仲. 病人决策行为研究进展. 国外医学护理学分册, 2002, 21(8):350-352.
26.	马丽莉, 何仲. 癌症病人参与治疗、护理决策的现状研究. 中国实用护理杂志, 2005, 21(6A):10-12.
27.	Volk RJ, Llewellyn-Thomas H, Stacey D, et al. Ten years of the International Patient Decision Aid Standards Collaboration: evolution of the core dimensions for assessing the quality of patient decision aids. BMC Med Inform Decis Mak, 2013, 13 Suppl 2:p. S1.
28.	Knowing Your Options:A Decision Aid for Men With Clinically Localized Prostate Cancer. Available at:http://www.effectivehealthcare.ahrq.gov/ehc/decisionaids/prostate-cancer/LM5/pdfs/AboutTheDecisionAid.pdf Accessed June 3, 2015.
29.	Evans R, Elwyn G, Edwards A. Making interactive decision support for patients a reality. Inform Prim Care, 2004, 12(2):109-113.
30.	Goel V, Sawka CA, Thiel EC, et al. Randomized Trial of a Patient Decision Aid for Choice of Surgical Treatment for Breast Cancer. Med Decis Making, 2001, 21(1):1-6.
31.	Graham ID, Logan J, O'Connor A, et al. A qualitative study of physicians' perceptions of three decision aids. Patient Educ Couns, 2003, 50(3):279-83.

1. Vlemmix F, Warendorf JK, Rosman AN, et al. Decision aids to improve informed decision-making in pregnancy care:a systematic review. BJOG, 2013, 120(3):257-266.
2. Fortnum D, Smolonogov T, Walker R, et al. 'My kidneys, my choice, decision aid':supporting shared decision making. J Ren Care, 2015, 41(2):81-87.
3. Barry MJ. Resolving the decision aid paradox. JAMA Intern Med, 2015, 175(5):799-800.
4. Sawka CA, Goel V, Mahut CA, et al. Development of a patient decision aid for choice of surgical treatment for breast cancer. Health Expect, 1998, 1(1):23-36.
5. 华志民, 陈强, 陈真, 等. 临床决策辅助与根除幽门螺杆菌. 中华消化杂志, 2002, 22(1):49-50.
6. Drug and Therapeutics Bulletin. An introduction to patient decision aids. BMJ, 2013, 347:f4147-f4147.
7. Chewning B, Bylund CL, Shah B, et al. Patient preferences for shared decisions:a systematic review. Patient Educ Couns, 2012, 86(1):9-18.
8. Degner LF, Kristjanson LJ, Bowman D, et al. Information needs and decisional preferences in women with breast cancer. JAMA, 1997, 277(18):1485-1492.
9. Elwyn G. Developing a quality criteria framework for patient decision aids:online international Delphi consensus process. BMJ, 2006, 333(7565):417.
10. 詹思延. 流行病学. 第7版. 北京:人民卫生出版社, 2012.
11. 廖宗峰, 方汉萍, 刘洪娟. 病人决策辅助的研究现状和进展. 护理研究, 2014, 28(12B):4360-4363.
12. Lassman F, Henderson RC, Dockery L, et al. How Does a Decision Aid Help People Decide Whether to Disclose a Mental Health Problem to Employers? Qualitative Interview Study. J Occup Rehabil, 2015, 25(2):403-411.
13. Barton JL, Koenig CJ, Evans-Young G, et al. The design of a low literacy decision aid about rheumatoid arthritis medications developed in three languages for use during the clinical encounter. BMC Med Inform Decis Mak, 2014, 14(1):104.
14. Watts BV, Schnurr PP, Zayed M, et al. A randomized controlled clinical trial of a patient decision aid for posttraumatic stress disorder. Psychiatr Serv, 2015, 66(2):149-154.
15. Shirley E, Bejarano C, Clay C, et al. Helping Families Make Difficult Choices:Creation and Implementation of a Decision Aid for Neuromuscular Scoliosis Surgery. J Pediatr Orthop, 2015, 35(8):831-837.
16. Washington K, Shacklady C. Patients' Experience of Shared Decision Making Using an Online Patient Decision Aid for Osteoarthritis of the Knee-A Service Evaluation. Musculoskeletal Care, 2015, 13(2): 116-126.
17. Hersch J, Jansen J, Barratt A, et al. Overdetection in breast cancer screening:development and preliminary evaluation of a decision aid. BMJ Open, 2014, 4(9):e006016.
18. Eden KB, Perrin NA, Hanson GC, et al. Use of Online Safety Decision Aid by Abused Women:Effect on Decisional Conflict in a Randomized Controlled Trial. Am J Prev Med, 2015, 48(4):372-383.
19. Spiegle G, Al-Sukhni E, Schmocker S, et al. Patient decision aids for cancer treatment. Cancer, 2013, 119(1):189-200.
20. Brace C, Schmocker S, Huang H, et al. Physicians' awareness and attitudes toward decision aids for patients with cancer. J Clin Oncol, 2010, 28(13):2286-2292.
21. Hill L, Mueller MR, Roussos S, et al. Opportunities for the use of decision aids in primary care. Fam Med, 2009, 41(5):350-355.
22. 张琼文, 万晓莉, 刘颖, 等. 病人参与临床决策现状调查与分析. 中国循证医学杂志, 2010, 10(1):10-13.
23. 朱凤霞. 病人的价值取向在诊疗决策中的作用. 医学与哲学, 2006,27(14):6-8.
24. 丁媛. 中国病人参与治疗决策影响因素论述研究. 东方企业文化, 2011, (22):166.
25. 马丽莉, 何仲. 病人决策行为研究进展. 国外医学护理学分册, 2002, 21(8):350-352.
26. 马丽莉, 何仲. 癌症病人参与治疗、护理决策的现状研究. 中国实用护理杂志, 2005, 21(6A):10-12.
27. Volk RJ, Llewellyn-Thomas H, Stacey D, et al. Ten years of the International Patient Decision Aid Standards Collaboration: evolution of the core dimensions for assessing the quality of patient decision aids. BMC Med Inform Decis Mak, 2013, 13 Suppl 2:p. S1.
28. Knowing Your Options:A Decision Aid for Men With Clinically Localized Prostate Cancer. Available at:http://www.effectivehealthcare.ahrq.gov/ehc/decisionaids/prostate-cancer/LM5/pdfs/AboutTheDecisionAid.pdf Accessed June 3, 2015.
29. Evans R, Elwyn G, Edwards A. Making interactive decision support for patients a reality. Inform Prim Care, 2004, 12(2):109-113.
30. Goel V, Sawka CA, Thiel EC, et al. Randomized Trial of a Patient Decision Aid for Choice of Surgical Treatment for Breast Cancer. Med Decis Making, 2001, 21(1):1-6.
31. Graham ID, Logan J, O'Connor A, et al. A qualitative study of physicians' perceptions of three decision aids. Patient Educ Couns, 2003, 50(3):279-83.

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