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Policy Support For Patient-Centered Care: The Need For Measurable Improvements In Decision Quality: Documenting gaps in patients' knowledge could stimulate rapid change, moving decisions and care closer to a patient-centered ideal.
Abstract
The phenomenon of practice variation draws attention to the need for better management of clinical decision making as a means of ensuring quality. Different policies to address variations, including guidelines and measures of appropriateness, have had little demonstrable impact on variation itself or on the underlying quality problems. Variations in rates of interventions raise questions about the patient-centeredness of decisions that determine what care is provided to whom. Policies that support the development and routine use of measures of decision quality will provide opportunities to measurably improve the quality of decisions, thereby leading to more patient-centered and efficient health care.
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Citations
Cited by
Decision aids for people facing health treatment or screening decisions
Stacey, D., Légaré, F., Lewis, K., Barry, M. J., Bennett, C. L., Eden, K. B., Holmes-Rovner, M., Llewellyn-Thomas, H., Lyddiatt, A., Thomson, R., et al. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001431.pub5 · Cited by 6,685
Elwyn, G. (2006) · BMJ · doi:10.1136/bmj.38926.629329.ae · Cited by 1,824
Patient involvement in treatment decision-making: The case for a broader conceptual framework
Entwistle, V. A., & Watt, I. S. (2006) · Patient Education and Counseling · doi:10.1016/j.pec.2006.05.002 · Cited by 314
Impact of provider-patient communication on cancer screening adherence: A systematic review
Peterson, E. B., Ostroff, J. S., DuHamel, K. N., D'Agostino, T. A., Hernandez, M., Canzona, M. R., & Bylund, C. L. (2016) · Preventive Medicine · doi:10.1016/j.ypmed.2016.09.034 · Cited by 308
Validation of a Preparation for Decision Making scale
Bennett, C., Graham, I. D., Kristjansson, E., Kearing, S. A., Clay, K. F., & O’Connor, A. M. (2010) · Patient Education and Counseling · doi:10.1016/j.pec.2009.05.012 · Cited by 305
Metadata
- Authors
- Sepucha, K. R., Fowler, F. J., & Mulley, A. G.
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2004-01
- Volume
- 23
- Issue
- Suppl2
- Pages
- VAR-54-VAR-62
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W2118815438
- Cited by
- 297
- References
- 0
- FWCI
- 25.32
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Policy Support For Patient-Centered Care: The Need For Measurable Improvements In Decision Quality: Documenting gaps in patients' knowledge could stimulate rapid change, moving decisions and care closer to a patient-centered ideal. https://app.cochat.ai/papers/10.1377/hlthaff.var.54
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- Sepucha, K. R., Fowler, F. J., & Mulley, A. G. (2004). Policy Support For Patient-Centered Care: The Need For Measurable Improvements In Decision Quality: Documenting gaps in patients' knowledge could stimulate rapid change, moving decisions and care closer to a patient-centered ideal. Health Affairs. https://doi.org/10.1377/hlthaff.var.54
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
