Evidence-based Patient Choice Inevitable or Impossible?

by Edwards, Adrian; Elwyn, Glyn

• ISBN13: 9780192631947
• ISBN10: 0192631942
• Format: Paperback
• Copyright: 2001-08-09
• Publisher: Oxford University Press

Summary

This book's focus is on the decisions taken in consultations between health care patients and professionals. Clinician- patient partnerships in health care decisions are increasingly advocated. Evidence- based patient choice describes a model of health care in which the evidence-based approach can integrate with the promotion of consumer choice. The book examines the traditional approach and the changing experience and expectations of consumers. It describes with many clinical examples and patient narratives how to practice evidence-based patient choice, and explores the ethical, sociological and economic issues raised. It also addresses the future modifications to professional training and organisational change which are required if evidence-based patient choice is to become the norm and speculates about what is likely to be achieved in the next few years. The book provides a summary of current perspectives in this area, which will be of interest to consumers, their representative groups, and to professionals in practice and training alike. From the foreword by Richard Grol: 'An enormous challenge lies before us. In this new and challenging field Evidence-based patient choice is manna from heaven. It summarises the current state of knowledge about these new patient involvement approaches. It is by far the most comprehensive account of scientific and ethical thinking about patient choice at this moment. And, it manages to show us the way to a potential future: health care provision where patients and professionals operate as real partners with shared goals...'

Table of Contents

List of contributors	vii
Foreword	xvi
Richard Grol
List of abbreviations	xviii
Section 1: Evidence-based health care
Evidence-based patient choice?	3	(16)
Glyn Elwyn
Adrian Edwards
Evidence-based medicine for professionals	19	(15)
JA Muir Gray
Evidence-based health care: what roles for patients?	34	(19)
Vikki Entwistle
Maire O'Donnell
Section 2: Theoretical perspectives on evidence-based patient choice
Ethical issues and evidence-based patient choice	53	(13)
Richard Ashcroft
Tony Hope
Michael Parker
Health economics and patient choice	66	(12)
Anthony Scott
Evidence and risk: the sociology of health care grappling with knowledge and uncertainty	78	(19)
Paul Bellaby
Section 3: Conceptual development for clinical practice
Patient-centredness in medicine	97	(21)
Moira Stewart
Judith Belle Brown
Shared decision making: the principles and the competences	118	(26)
Glyn Elwyn
Cathy Charles
Risk communication-making evidence part of patient choices	144	(17)
Adrian Edwards
Hilda Bastian
Decision analysis: utility for everyday use?	161	(20)
Glyn Elwyn
Adrian Edwards
Martin Eccles
David Rovner
Section 4: Evidence-based patient choice in practice
Evidence-based patient choice in primary health care	181	(10)
Theo Schofield
Evidence-based patient choice in secondary care	191	(15)
William Rosenberg
Narrative and patient choice	206	(14)
Trisha Greenhalgh
The role of decision aids in promoting evidence-based patient choice	220	(25)
Annette O'Connor
Adrian Edwards
Section 5: The next and possible future developments
Education and training of health care professionals	245	(25)
Angela Towle
William Godolphin
Moving to the mainstream	270	(19)
Margaret Holmes-Rovner
Hilary Llewellyn-Thomas
Glyn Elwyn
Consumer health informatics in the Internet age	289	(19)
Gunther Eysenbach
Alex Jadad
The future	308	(15)
Angela Coulter
Index	323