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Patient Preferences as Guidance for Information Framing in a Medical Shared Decision-Making Approach: The Bridge Between Nudging and Patient Preferences

机译:患者偏好作为医疗共享决策方法中信息框架的指导:裸露和患者偏好之间的桥梁

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Guidelines and policies support the decision process to make sure that patients can benefit from the best treatment for their condition. The implementation of guidelines and policies is evolving, allowing decision makers to be able to choose between alternatives while considering the effect of biases and fallacies that may hinder their choice. Patient preferences play a precious role in those decisions in which is not possible to recognize an objective “best” alternative and it’s not possible to nudge them toward one alternative based on scientific evidence and clinical experience. Having patient input as part of the decision process itself?would allow the recognition of the attributes related to what is relevant for patients, which can be considered as important as clinical data. The authors advocate that the integration of preference-sensitive attributes with decision policies could provide a benefit against fallacies in the decision process when there is not a “best” alternative, and a shared decision-making paradigm allows both patient and clinician to recognize and pursue the option that best fits the individual case.
机译:指导方针和政策支持决策过程,以确保患者可以从最佳治疗中受益。指导方针和政策的实施正在不断发展,允许决策者能够在考虑可能阻碍他们选择的偏差和谬误的效果的同时在替代方案之间进行选择。患者偏好在这些决定中起着珍贵的作用,其中不可能识别目标“最佳”替代方案,并且不可能基于科学证据和临床经验向一种替代方案推导他们。将患者输入作为决策过程本身的一部分?将允许识别与患者相关的有关的属性,这可以被视为临床数据。作者倡导偏好敏感属性与决策政策的整合可以在决策过程中造成效益,当没有“最佳”替代方案时,以及共享决策范式允许患者和临床医生识别和追求最适合个人案件的选项。

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