From decision to shared-decision: Introducing patients’ preferences into clinical decision analysis

作者:

Highlights:

• We provide a framework encapsulating patient's preferences elicitation and decision models.

• We define a shared decision-making framework to be used by physicians and patients together.

• We use as a case study the prevention of thromboembolism in atrial fibrillation patients.

• Using personalized utility coefficients allows taking into account the features of the population.

• We show how to integrate shared decision-making into a guideline-based decision support tool.

摘要

•We provide a framework encapsulating patient's preferences elicitation and decision models.•We define a shared decision-making framework to be used by physicians and patients together.•We use as a case study the prevention of thromboembolism in atrial fibrillation patients.•Using personalized utility coefficients allows taking into account the features of the population.•We show how to integrate shared decision-making into a guideline-based decision support tool.

论文关键词:Shared decision-making,Decision trees,Patient preferences,Utility coefficients,Atrial fibrillation

论文评审过程:Available online 1 November 2014, Version of Record 16 September 2015.

论文官网地址:https://doi.org/10.1016/j.artmed.2014.10.004