Shared decision making

Factors Influencing Primary Care Practitioners’ Cancer Screening Recommendations for Older Adults: a Systematic Review – Jenna Smith et al

2023-06-27T17:08:38+10:00Breast cancer, Cancer, Cervical Cancer, Overdiagnosis, Overtreatment, Prostate cancer, Publications, Screening, Shared decision making|

Deciding whether it is worthwhile to advise older adults (aged ≥ 65 years) to continue or stop cancer screening is not straightforward for primary care practitioners (PCPs). At a population level, there is evidence that the benefit/harm trade-off of cancer screening becomes less favorable in older adults. The [...]

Integrating consumer perspectives into a large-scale health literacy audit of health information materials: learnings and next steps – Julie Ayre et al

2023-06-27T17:09:12+10:00Health literacy, Public comprehension, Publications, Risk, Shared decision making|

Health information is less effective when it does not meet the health literacy needs of its consumers. For health organisations, assessing the appropriateness of their existing health information resources is a key step to addressing this issue. This study describes novel methods for a consumer-centred [...]

Perspectives from China, India and Sri Lanka on the drivers and potential solutions to overuse and overdiagnosis – Thanya Pathirana, et.al

2023-04-14T13:35:12+10:00Overdiagnosis, Overtesting, Overuse, Publications, Shared decision making|

Overuse is defined as provision of healthcare which is more likely to result in harm than good, and it is fast becoming a threat to human health and the sustainability of health systems worldwide. Overuse may, but not always, increase the risk of overdiagnosis, which [...]

Transvaginal mesh in Australia: An analysis of news media reporting from 1996 to 2021 – Mina Motamedi, Stacy M. Carter & Chris Degeling

2023-03-01T13:58:52+11:00Media, Publications, Risk, Shared decision making, Surgery, Women's health|

Transvaginal mesh (mesh) surgery was developed through collaborations between surgeons and device manufacturers, in 1996, for the treatment of stress urinary incontinence (incontinence) and/or pelvic organ prolapse (prolapse) in women. It was aggressively promoted to practitioners and rapidly adopted in practice. Clinical trials indicated mesh [...]

Is it time to reconsider the indications for surgery in patients with tennis elbow? – Teemu Karjalainen & Rachelle Buchbinder

2023-03-01T13:40:13+11:00Elbow, Musculoskeletal, Pain, Publications, Shared decision making, Surgery, Treatment|

Tennis elbow (lateral epicondylitis or lateral elbow tendinopathy) is a self-limiting condition in most patients. Surgery is often offered to patients who fail to improve with conservative treatment. However, there is no evidence to support the superiority of surgery over continued nonoperative care or no [...]

The dilemmas of antimicrobial stewardship in aged care: The perspectives of the family members of older Australians – Chris Degeling PhD et al.

2023-03-01T12:29:43+11:00Ageing, Antibiotics, End of life, Overuse, Prescribing, Publications, Shared decision making|

Antimicrobial resistance makes the misuse of antibiotics in residential aged care facilities (RACFs) a significant concern. Family members influence antibiotic prescribing for RACF residents, but there is limited understanding of the beliefs and knowledge that drive their involvement.

Patient and public involvement in the development of clinical practice guidelines: a scoping review – Elizabeth Ann Bryant et. al

2023-01-11T14:30:47+11:00Clinical guidelines, Publications, Shared decision making|

Organisations that develop clinical practice guidelines (CPGs) encourage involvement of patients and the publics in their development, however, there are no standard methodologies for doing so. To examine how CPGs report patient and public involvement (PPI), we conducted a scoping review of the evidence addressing [...]

Supporting conversations about medicines and deprescribing: GPs’ perspectives on a Medicines Conversation Guide – Kristie Rebecca Weir et. al

2023-01-18T14:17:06+11:00Ageing, Deprescribing, Publications, Shared decision making|

Deprescribing can be an appropriate intervention when a person’s medications shift towards an unfavourable benefit-to-harm ratio due to changes in an older adult’s medications, health conditions, preferences and treatment goals. To elicit an individual’s preferences and to understand their goals of care, it is essential [...]

Decision Support Tools for Coronary Artery Calcium Scoring in the Primary Prevention of Cardiovascular Disease Do Not Meet Health Literacy Needs: A Systematic Environmental Scan and Evaluation – Shannon McKinn et. al

2023-01-11T12:01:48+11:00Decision aids, Health literacy, Publications, Shared decision making|

A shared decision-making approach is considered optimal in primary cardiovascular disease (CVD) prevention. Evidence-based patient decision aids can facilitate this but do not always meet patients’ health literacy needs. Coronary artery calcium (CAC) scans are increasingly used in addition to traditional cardiovascular risk scores, but [...]

Towards zero carbon healthcare: anaesthesia – Clifford L Shelton et. al

2023-01-11T11:35:40+11:00Carbon footprint, Carbon neutral, Publications, Shared decision making|

Providing anaesthesia for approximately 310 million surgical procedures worldwide every year, and contributing to peri-operative medicine, critical care, and pain management, generates emissions of greenhouse gases (GHGs) and vast amounts of waste. In this paper, we suggest ways that anaesthesia teams can mitigate their environmental [...]

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