AMIA Annu Symp Proc - Supporting shared decision making within the MobiGuide project.

Tópicos

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Resumo

This paper describes our approach for fostering and facilitating communication among patients and caregivers in the context of shared decision making, i.e., when decisions must be taken not only on the basis of scientific evidence but also of the patient's preferences and context. This happens because clinical practice guidelines cannot provide recommendations for every possible situation, and cannot foresee every change in a patient's context, which might imply the deviation from a previously acknowledged recommendation. Within the EU-funded project MobiGuide (www.mobiguide-project.eu), supporting remote patient management, we propose decision theory as a methodological framework for a tool that, during face to face encounters, is used to tailor pre-defined, generic decision models to the individual patient, by involving the patient himself in the customization of the model parameters. Although this approach is not appropriate for all patients, it leads, in well-chosen cases, to a more informed choice, with potentially better treatment compliance.

Resumo Limpo

paper describ approach foster facilit communic among patient caregiv context share decis make ie decis must taken basi scientif evid also patient prefer context happen clinic practic guidelin provid recommend everi possibl situat forese everi chang patient context might impli deviat previous acknowledg recommend within eufund project mobiguid wwwmobiguideprojecteu support remot patient manag propos decis theori methodolog framework tool face face encount use tailor predefin generic decis model individu patient involv patient custom model paramet although approach appropri patient lead wellchosen case inform choic potenti better treatment complianc

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