TITLE

Patients at the center: in our practice, and in our use of language

AUTHOR(S)
Goldfarb, David S.; Montori, Victor M.; Devereaux, P. J.; Sch√ľnemann, Holger; Bhandari, Mohit; Guyatt, Gordon
PUB. DATE
May 2004
SOURCE
ACP Journal Club;May/Jun2004, Vol. 140 Issue 3, pA-14
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
In their editorial about patients sharing decision-making responsibilities with physicians, authors review some of the evidence that patients favor involvement in their own care. They neglect a more complex body of evidence, however, that suggests that while patients like the idea of greater choice, they often find it to be less satisfying in practice. But, reliable information is difficult to obtain. The advent of the Internet has increased access to information, as author contends, but the information being accessed may be unreliable or untrustworthy. Obtaining additional opinions and performing research are potentially costly and time-consuming. Another problem is that as options multiply, patients' standards for what is an acceptable outcome rise, with a loss of perspective of what may reasonably be achieved. Most of the women with breast cancer preferred a passive role, leaving the decision-making responsibility to their physicians.
ACCESSION #
13221815

 

Related Articles

  • "Evidence of me" in evidence based medicine? Lockwood, Susan // BMJ: British Medical Journal (International Edition);10/30/2004, Vol. 329 Issue 7473, p1033 

    Looks at the role of patients' values in evidence-based medicine. Contrast of a clinician's use of rational, objective evidence in decision-making with a patient's reliance on emotional, relational, and subjective evidence; Discussion of evidence-based medicine from the perspective of breast...

  • Letters. Dickens, P; McGuigan, Marie; Peachey, Lois; Pollecoff, Martin; Drouot, John; Nichols, Paul; Collins, Debbie; Whitlock, Sue; Walker, Geoff // Therapy Today;Sep2006, Vol. 17 Issue 7, p21 

    Several letters to the editor are presented in response to articles published in previous issues. They include "Applying evidence-based practice," in the June 2006 issue and "Delivering CBT," in the June 2006 issue.

  • Implementing evidence-based psychiatry: whose responsibility? Lawrie, Stephen M.; Scottand, Allan I. F.; Sharpe, Michael C. // British Journal of Psychiatry;Mar2001, Vol. 178, p195 

    The article comments on the main obstacles to the implementation of evidence-based psychiatry. These include identifying information needs, delivering reliable and clinically useful information to the ward/clinic and ensuring the information is regularly updated. The authors note that...

  • Closing the gap between research and practice. Geddes, John R.; Harrison, Paul J. // British Journal of Psychiatry;Sep97, Vol. 171, p220 

    The article discusses how evidence-based medicine (EBM) can help bridge the gap between research and practice in psychiatry. According to the authors, EBM is intended to help provide clinicians with a set of skills which allow them to base clinical decisions on the best evidence available. The...

  • Invited commentaries on: Closing the gap between research and practice.  // British Journal of Psychiatry;Sep97, Vol. 171, p226 

    The article presents various opinions on the issue of using evidence-based medicine (EBM) in psychiatry. According to some psychiatrists, EBM does address bias by the practice of systemic reviews, but systemic reviews and meta analysis themselves involve making assumptions and interpretations...

  • From research evidence to policy: mental health care in Viet Nam. Harpham, T.; Tuan, T. // Bulletin of the World Health Organization;Aug2006, Vol. 84 Issue 8, p664 

    Problem The use of evidence-based policy is gaining attention in developing countries. Frameworks to analyse the process of developing policy and to assess whether evidence is likely to influence policy-makers are now available. However, the use of evidence in policies on caring for people with...

  • User-led research and evidence-based medicine. Faulkner, Alison; Thomas, Phil // British Journal of Psychiatry;Jan2002, Vol. 180, p1 

    The article examines the value of user-led research in psychiatry in improving the concept of "evidence" in evidence-based psychiatry. User-led research asserts that research should be based in the subjective, lived experience of emotional distress. Its approach of attending to what people say...

  • Evidence-based psychopharmacology: an agenda for the future. Barbui, C.; Cipriani, A. // Evidence Based Mental Health;Feb2007, Vol. 10 Issue 1, p4 

    The article presents the future agenda for evidence-based psychopharmacology in mental health. It examines the healthcare interventions outcome and strategies developed to increase systematic review quality. It discusses the issues and give strategies to improve the clinical treatment...

  • Technology can incorporate volumes of data into practice. Gillette, Bill // Managed Healthcare Executive;Apr2004, Vol. 14 Issue 4, p52 

    The article discusses evidence-based medicine (EBM). Need for security related to EBM; Barriers to the widespread adaptation of technology to EBM; Purpose of EBM.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics