Abstract
While preference elicitation techniques have been effective in supporting patients in their abilities to make decisions consistent with their preferences, little is known about whether information about patient preferences affects clinicians in clinical decision making and improves patient outcomes. This paper presents a study that tested the effect of eliciting elderly patients' preferences for self-care capability and providing this information to nurses in clinical practice on nurses' care priorities and patient outcomes. The study showed that information about patient preferences changed nurses' care priorities to be more consistent with patient preferences and improved patient outcomes of preference achievement and physical functioning. These results emphasize the importance of continuing to refine strategies for eliciting and integrating patient preferences into patient care as a means to improve patient outcomes.
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Selected References
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- Bergner M., Bobbitt R. A., Carter W. B., Gilson B. S. The Sickness Impact Profile: development and final revision of a health status measure. Med Care. 1981 Aug;19(8):787–805. doi: 10.1097/00005650-198108000-00001. [DOI] [PubMed] [Google Scholar]
- Boyd N. F., Sutherland H. J., Heasman K. Z., Tritchler D. L., Cummings B. J. Whose utilities for decision analysis? Med Decis Making. 1990 Jan-Mar;10(1):58–67. doi: 10.1177/0272989X9001000109. [DOI] [PubMed] [Google Scholar]
- Charlson M. E., Pompei P., Ales K. L., MacKenzie C. R. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373–383. doi: 10.1016/0021-9681(87)90171-8. [DOI] [PubMed] [Google Scholar]
- Fowler F. J., Jr, Cleary P. D., Magaziner J., Patrick D. L., Benjamin K. L. Methodological issues in measuring patient-reported outcomes: the agenda of the Work Group on Outcomes Assessment. Med Care. 1994 Jul;32(7 Suppl):JS65–JS76. [PubMed] [Google Scholar]
- Kasper J. F., Mulley A. G., Jr, Wennberg J. E. Developing shared decision-making programs to improve the quality of health care. QRB Qual Rev Bull. 1992 Jun;18(6):183–190. doi: 10.1016/s0097-5990(16)30531-0. [DOI] [PubMed] [Google Scholar]
- Kassirer J. P. Incorporating patients' preferences into medical decisions. N Engl J Med. 1994 Jun 30;330(26):1895–1896. doi: 10.1056/NEJM199406303302611. [DOI] [PubMed] [Google Scholar]
- Lenert L. A., Soetikno R. M. Automated computer interviews to elicit utilities: potential applications in the treatment of deep venous thrombosis. J Am Med Inform Assoc. 1997 Jan-Feb;4(1):49–56. doi: 10.1136/jamia.1997.0040049. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Llewellyn-Thomas H. A., Sutherland H. J., Thiel E. C. Do patients' evaluations of a future health state change when they actually enter that state? Med Care. 1993 Nov;31(11):1002–1012. doi: 10.1097/00005650-199311000-00003. [DOI] [PubMed] [Google Scholar]
- Llewellyn-Thomas H. A., Sutherland H. J., Tritchler D. L., Lockwood G. A., Till J. E., Ciampi A., Scott J. F., Lickley L. A., Fish E. B. Benign and malignant breast disease: the relationship between women's health status and health values. Med Decis Making. 1991 Jul-Sep;11(3):180–188. doi: 10.1177/0272989X9101100307. [DOI] [PubMed] [Google Scholar]
- O'Meara J. J., 3rd, McNutt R. A., Evans A. T., Moore S. W., Downs S. M. A decision analysis of streptokinase plus heparin as compared with heparin alone for deep-vein thrombosis. N Engl J Med. 1994 Jun 30;330(26):1864–1869. doi: 10.1056/NEJM199406303302605. [DOI] [PubMed] [Google Scholar]