Shared decision making: A dual-layer model to tackling multimorbidity in primary care.

Abstract:

:It is common for primary care providers (PCPs) to manage complex multimorbidity. When caring for patients with multimorbidity, PCPs face challenges to tackle several issues within a short consultation in order to address patients' complex needs. Furthermore, some PCPs may lack access to a multidisciplinary team and need to manage multimorbidity within the confine of a PCP-patient partnership only. Instead of attempting to address multiple health issues within a single consultation, it would be more feasible and time effective for PCPs and patients to jointly prioritize the health issue to focus on. Using the Malaysian primary care setting as a case study, a dual-layer-shared decision-making approach is proposed whereby PCPs and patients make decisions on which disease(s) (layer 1) and treatment(s) (layer 2) to prioritize. This dual-layer model aims to address the challenges of short consultation time and limited healthcare resources by encouraging PCPs and patients to discuss, negotiate, and agree on the decision during the consultation to ensure patients' health needs are addressed.

journal_name

J Eval Clin Pract

authors

Ng CJ,Lee YK,Abdullah A,Abu Bakar AI,Tun Firzara AM,Tiew HW

doi

10.1111/jep.13163

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

1074-1079

issue

6

eissn

1356-1294

issn

1365-2753

journal_volume

25

pub_type

杂志文章
  • Methodological limitations of cost-effectiveness analysis in health care: implications for decision making and service provision.

    abstract::This article reviews the methodological limitations identified in a recent authoritative US report by the Public Health Service, which provides the theoretical background to several other guidelines on cost effectiveness, such as those of the British Medical Journal. It places each limitation in context and discusses ...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2753.1999.00179.x

    authors: Raftery J

    更新日期:1999-11-01 00:00:00

  • Automated calculation of ptosis on lateral clinical photographs.

    abstract:RATIONALE, AIMS AND OBJECTIVES:The goal is to fully automate the calculation of a breast ptosis measure from clinical photographs through automatic localization of fiducial points relevant to the measure. METHODS:Sixty-eight women (97 clinical photographs) who underwent or were scheduled for breast reconstruction were...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12397

    authors: Lee J,Kim E,Reece GP,Crosby MA,Beahm EK,Markey MK

    更新日期:2015-10-01 00:00:00

  • Evaluation of the physicians' approach to the diagnosis and treatment of patients with antituberculosis drug-induced hepatotoxicity.

    abstract:OBJECTIVES:To describe the practices of physicians on the diagnosis and treatment of antituberculosis drug-induced hepatotoxicity (ATH), and to evaluate the concordance between these practices and the American Thoracic Society (ATS) 2006 guidelines. METHODS:Information was reviewed on 670 new cases of tuberculosis pat...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2011.01706.x

    authors: Thongraung W,Sittidach M,Khwansuwan P,Sariyasuntorn K,Wongsampan S

    更新日期:2012-12-01 00:00:00

  • Health of the Nation Outcome Scales in a psychiatric inpatient setting: assessing clinical change.

    abstract:RATIONALE, AIMS AND OBJECTIVES:The aim of this study was to examine the validity of the Health of the Nation Outcome Scales (HoNOS) in terms of change in relation to sex, clinical characteristics and level of clinical change as assessed using other measures. METHODS:The sample consisted of N = 690 admissions from one ...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12296

    authors: Egger ST,Weniger G,Prinz S,Vetter S,Müller M

    更新日期:2015-04-01 00:00:00

  • Outpatient versus inpatient laparoscopic cholecystectomy: a prospective randomized study of symptom occurrence, symptom distress and general state of health during the first post-operative week.

    abstract:BACKGROUND:Few randomized clinical trials focus on patients' symptoms of the first post-operative week following outpatient (OPS) versus inpatient (IPS) laparoscopic cholecystectomy (LC). The objective was to compare these treatment modalities with regard to patients' perceptions of pain and other post-operative sympto...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2753.2007.00920.x

    authors: Barthelsson C,Anderberg B,Ramel S,Björvell C,Giesecke K,Nordström G

    更新日期:2008-08-01 00:00:00

  • Accuracy of administrative coding in identifying hip and knee primary replacements and revisions.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Hospital discharge notes can be used to identify rates of revisions in hip and knee arthroplasty surgeries if such administrative codes are accurate. In order to trust the data taken from the hospital discharge abstracts it is important to assess their reliability. The purpose of this stu...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1365-2753.2010.01622.x

    authors: Daneshvar P,Forster AJ,Dervin GF

    更新日期:2012-06-01 00:00:00

  • Evaluation of a health service delivery intervention to promote falls prevention in older people across the care continuum.

    abstract:RATIONALE, AIMS AND OBJECTIVES:The incidence of falls and fall-related injuries in older age is predicted to increase concomitantly with global population ageing, representing a serious challenge to health care systems. In spite of the availability of policy and practice guidelines for the prevention of falls and fall-...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2009.01307.x

    authors: Peel NM,Travers C,Bell RA,Smith K

    更新日期:2010-12-01 00:00:00

  • Medical ethics education: to what ends?

    abstract::The goals of medical ethics education comprise several dimensions: legal duties to secure informed consent, tell the truth and protect confidentiality; objective competencies that include an understanding of DNR regulations and surrogate decision-making procedures; discursive moral skills such as moral sensitivity, re...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1046/j.1365-2753.2001.00277.x

    authors: Gross ML

    更新日期:2001-11-01 00:00:00

  • A P5 cancer medicine approach: why personalized medicine cannot ignore psychology.

    abstract::A system approach termed P4 medicine has recently been proposed in the field of oncology. This approach has been advanced as an extension of what is usually called 'personalized' or 'genomic medicine'. P4 medicine creates effective predictive, personalized, preventive and participatory models to treat patients. In ord...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2011.01709.x

    authors: Pravettoni G,Gorini A

    更新日期:2011-08-01 00:00:00

  • Applying a 'stages of change' model to enhance a traditional evaluation of a research transfer course.

    abstract::The aim of this study was to utilize an evaluation tool based on Prochaska's model of change in order to assess behaviour change as part of an evaluation process for a research transfer training programme (RTTP). The RTTP was a training programme offered to scientists in a psychiatry department and research institute ...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1046/j.1365-2753.2003.00407.x

    authors: Buckley LL,Goering P,Parikh SV,Butterill D,Foo EK

    更新日期:2003-11-01 00:00:00

  • Opinions and potential solutions regarding dissemination bias from funding agencies of biomedical research in Europe.

    abstract:RATIONALE, AIMS, AND OBJECTIVES:Several studies have found that about half of research results from clinical trials are never published. Until now, there has been little information on the views that funding agencies of biomedical research in Europe have regarding this issue and its possible solutions. METHODS:An elec...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12692

    authors: Pardo-Hernandez H,Urrútia G,Meerpohl JJ,Marušić A,Wager E,Bonfill X,OPEN Project Consortium.

    更新日期:2018-02-01 00:00:00

  • Effect of feedback in promoting adherence to an exercise programme: a randomized controlled trial.

    abstract:OBJECTIVE:We investigated whether providing participants in an exercise programme with regular feedback on their exercise progress affected their adherence to the programme regimen. METHOD:We conducted a randomized controlled trial. Adult men and women with borderline hypertension and a body mass index ≥ 25.0 were ran...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2753.2009.01342.x

    authors: Shakudo M,Takegami M,Shibata A,Kuzumaki M,Higashi T,Hayashino Y,Suzukamo Y,Morita S,Katsuki M,Fukuhara S

    更新日期:2011-02-01 00:00:00

  • Clinical guidelines: ways ahead.

    abstract::Clinical guidelines are essential in promoting the implementation of evidence-based practice within the NHS. But there are two broad schools of thought about their development and implementation: the first argues that guidelines should be entirely evidence-based and tolerates a degree of complexity which may make the ...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.1998.tb00088.x

    authors: Onion CW,Walley T

    更新日期:1998-11-01 00:00:00

  • Treatment selection and medication adherence for stable angina: The role of area-based health literacy.

    abstract:RATIONALE, AIMS, AND OBJECTIVES:Clinical studies show equivalent health outcomes from interventional procedures and treatment with medication only for stable angina patients. However, patients may be subject to overuse or access barriers for interventional procedures and may exhibit suboptimal adherence to medications....

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13341

    authors: Savitz ST,Bailey SC,Dusetzina SB,Jones WS,Trogdon JG,Stearns SC

    更新日期:2020-12-01 00:00:00

  • Delays and errors in abnormal chest radiograph follow-up: a systems approach to promoting patient safety in radiology.

    abstract:RATIONALE, AIMS AND OBJECTIVES:This study aimed to apply the 'systems approach' to patient safety in order to identify causes for delays and errors in lung cancer diagnoses following an abnormal chest radiograph. METHODS:In the first part of this study, the systems approach to patient safety was comprehensively review...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12178

    authors: Bhaludin BN,Shelmerdine SC,Arora S,Senbanjo T,Parthipun A

    更新日期:2014-08-01 00:00:00

  • Co-designing diagnosis: Towards a responsible integration of Machine Learning decision-support systems in medical diagnostics.

    abstract:RATIONALE:This paper aims to show how the focus on eradicating bias from Machine Learning decision-support systems in medical diagnosis diverts attention from the hermeneutic nature of medical decision-making and the productive role of bias. We want to show how an introduction of Machine Learning systems alters the dia...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13535

    authors: Kudina O,de Boer B

    更新日期:2021-01-22 00:00:00

  • Using clinical audit to promote evidence-based medicine and clinical effectiveness--an overview of one health authority's experience.

    abstract::Health care purchasers are facing increasing pressure to make the best use of their limited resources and to purchase only those services known to be clinically effective. This paper describes one health authority's experience of promoting clinical effectiveness through clinical audit and clinical guidelines. It highl...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.1997.tb00070.x

    authors: Auplish S

    更新日期:1997-02-01 00:00:00

  • Values-based practice and phenomenological psychopathology: implications of existential changes in depression.

    abstract::Values-based practice (VBP), developed as a partner theory to evidence-based medicine (EBM), takes into explicit consideration patients' and clinicians' values, preferences, concerns and expectations during the clinical encounter in order to make decisions about proper interventions. VBP takes seriously the importance...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12313

    authors: Fernandez AV,Wieten S

    更新日期:2015-06-01 00:00:00

  • The relationship between second-year medical students' OSCE scores and USMLE Step 2 scores.

    abstract:RATIONALE, AIMS AND OBJECTIVES:A valid tool to measure clinical competency early in medical school could identify students who may require special educational attention. The overall aim is to assess the relationship between students' scores on an objective structured clinical examination (OSCE) given in the second year...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2006.00768.x

    authors: Simon SR,Bui A,Day S,Berti D,Volkan K

    更新日期:2007-12-01 00:00:00

  • Perspectives on an amended law addressing pharmacists' availability in community pharmacies.

    abstract:RATIONALE, AIMS, AND OBJECTIVES:Little attention has been given to perceptions of pharmacist availability and role in the community setting following policy changes. The Pakistani model is particularly interesting as it encompasses three different pharmacy practice licensure types with major differences in credentials,...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13405

    authors: Qadeer G,Amin MEK

    更新日期:2020-04-22 00:00:00

  • French validation of the Maslach Burnout Inventory-Student Survey (MBI-SS).

    abstract:INTRODUCTION:Several international studies have been conducted on student burnout. To contribute to the clinical examination as well as research on the mental health of students, the MBI-SS (Maslach Burnout Inventory-Student Survey) has been validated and used in different countries but not in French. OBJECTIVE:The ai...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12771

    authors: Faye-Dumanget C,Carré J,Le Borgne M,Boudoukha PAH

    更新日期:2017-12-01 00:00:00

  • Challenges to validity in single-group interrupted time series analysis.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Single-group interrupted time series analysis (ITSA) is a popular evaluation methodology in which a single unit of observation is studied; the outcome variable is serially ordered as a time series, and the intervention is expected to "interrupt" the level and/or trend of the time series, ...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12638

    authors: Linden A

    更新日期:2017-04-01 00:00:00

  • Risk-adjusted increases in medical resource utilization associated with health care-associated infections in gastrectomy patients.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Quantifying the impact of health care-associated infections (HAIs) on medical resource utilization is necessary for payers and providers to appropriately allocate limited resources for interventions. However, previous studies tend to involve single institutions and do not take into accoun...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1365-2753.2009.01121.x

    authors: Lee J,Imanaka Y,Sekimoto M,Ishizaki T,Hayashida K,Ikai H,Tetsuya O

    更新日期:2010-02-01 00:00:00

  • HIT or miss: the application of health care information technology to managing uncertainty in clinical decision making.

    abstract:OBJECTIVE:To discuss the usefulness of health care information technology (HIT) in assisting care providers minimize uncertainty while simultaneously increasing efficiency of the care provided. STUDY DESIGN:An ongoing study of HIT, performance measurement (clinical and production efficiency) and their implications to ...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2010.01483.x

    authors: Kazandjian VA,Lipitz-Snyderman A

    更新日期:2011-12-01 00:00:00

  • Multi-item outcome measures for lateral ligament injury of the ankle: a structured review.

    abstract:OBJECTIVE:To identify and review evidence relating to the measurement properties of published multi-item outcome measures for the conservative management of lateral ligament injuries of the ankle. METHODS:Systematic literature searches were used to identify measures, which were then assessed against pre-defined criter...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2753.2003.00435.x

    authors: Haywood KL,Hargreaves J,Lamb SE

    更新日期:2004-05-01 00:00:00

  • Development of explicit criteria for prioritization of hip and knee replacement.

    abstract:RATIONALE AND AIMS:Among the problems to the publicly funded national health services are the waiting lists. Patients who need elective surgery generally have long waiting times before treatment. We aimed to develop a new prioritization tool for primary hip and knee replacement. METHODS:Criteria were developed using a...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2006.00733.x

    authors: Escobar A,Quintana JM,Bilbao A,Ibañez B,Arenaza JC,Gutiérrez L,Azkárate J,Güenaga JI,Vidaurreta I

    更新日期:2007-06-01 00:00:00

  • Quality of care for individuals with osteoarthritis: a longitudinal study.

    abstract:OBJECTIVES:The objectives of this paper were to investigate quality of care for individuals with osteoarthritis (OA) and to determine if those most in need had the outcome of a total joint replacement (TJR). Key quality indicators were involvement in treatment decisions, appropriate information provision and outcomes o...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2010.01616.x

    authors: McHugh GA,Campbell M,Luker KA

    更新日期:2012-06-01 00:00:00

  • Medical humanities' challenge to medicine.

    abstract::Medicine is predicated on a view of human nature that is highly positivist and atomistic. This is apparent in the way in which its students are taught, clinical consultations are structured and medical evidence is generated. The field of medical humanities originally emerged as a challenge to this overly narrow view, ...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2011.01728.x

    authors: Macnaughton J

    更新日期:2011-10-01 00:00:00

  • Let your intuition be your guide? Individual differences in the evidence-based practice attitudes of psychotherapists.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Despite increasing dissemination efforts, many psychotherapists still do not use treatments that are supported by research. Some have claimed that psychotherapists rely more on their clinical intuition than scientific evidence when making treatment decisions, but there is a paucity of res...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2010.01508.x

    authors: Gaudiano BA,Brown LA,Miller IW

    更新日期:2011-08-01 00:00:00

  • Using VLAD scores to have a look insight ICU performance: towards a modelling of the errors.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Mortality prediction models using logistic regression analysis play a pivotal role in intensive care quality evaluation, allowing a hospital's performance to be compared with a standard. However, when a difference between predicted and observed mortality exists, that is, the numerator of ...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2009.01240.x

    authors: Foltran F,Berchialla P,Giunta F,Malacarne P,Merletti F,Gregori D

    更新日期:2010-10-01 00:00:00