ArticleMedical decision making : an international journal of the Society for Medical Decision Making
Health decision making: lynchpin of evidence-based practice.
Article in Medical decision making : an international journal of the Society for Medical Decision Making. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Guideline
- Multiple behavior changes in diet and activity: a randomized controlled trial using mobile technology.Archives of internal medicine · 2012Trial
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- Ecuador's 2025 presidential election and the disconnection between public health and the political agendas.Frontiers in public health · 2025Article
- Spinal Cord Injury Provider Knowledge and Attitudes Toward Bacteriuria Management and Antibiotic Stewardship.PM & R : the journal of injury, function, and rehabilitation · 2020Article
- Protocol for a phase III RCT and economic analysis of two exercise delivery methods in men with PC on ADT.BMC cancer · 2018Article
- Finding what works: identification of implementation strategies for the integration of methadone maintenance therapy and HIV services in Vietnam.Implementation science : IS · 2016Article
- Clinical Decision-Making in Community Children's Mental Health: Using Innovative Methods to Compare Clinicians With and Without Training in Evidence-Based Treatment.Child & youth care forum · 2015Article
- The telehealth skills, training, and implementation project: an evaluation protocol.JMIR research protocols · 2015Article
- You'll know when you're ready: a qualitative study exploring how patients decide when the time is right for joint replacement surgery.BMC health services research · 2014Article
- Expert Recommendations for Implementing Change (ERIC): protocol for a mixed methods study.Implementation science : IS · 2014Article
- Conveying genomic recurrence risk estimates to patients with early-stage breast cancer: oncologist perspectives.Psycho-oncology · 2013Article
- Developing a patient-centered medical home: synopsis and comment on "Patient preferences for shared decisions: a systematic review".Translational behavioral medicine · 2012Article
- The role of computerized decision support in reducing errors in selecting medicines for prescription: narrative review.Drug safety · 2011Review
- A conditional model of evidence-based decision making.Journal of evaluation in clinical practice · 2009Article
- Theories of medical decision making and health: an evidence-based approach.Medical decision making : an international journal of the Society for Medical Decision MakingArticle
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1 author.
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Abstract
unlabelledHealth decision making is both the lynchpin and the least developed aspect of evidence-based practice. The evidence-based practice process requires integrating the evidence with consideration of practical resources and patient preferences and doing so via a process that is genuinely collaborative. Yet, the literature is largely silent about how to accomplish integrative, shared decision making. IMPLICATIONS: for evidence-based practice are discussed for 2 theories of clinician decision making (expected utility and fuzzy trace) and 2 theories of patient health decision making (transtheoretical model and reasoned action). Three suggestions are offered. First, it would be advantageous to have theory-based algorithms that weight and integrate the 3 data strands (evidence, resources, preferences) in different decisional contexts. Second, patients, not providers, make the decisions of greatest impact on public health, and those decisions are behavioral. Consequently, theory explicating how provider-patient collaboration can influence patient lifestyle decisions made miles from the provider's office is greatly needed. Third, although the preponderance of data on complex decisions supports a computational approach, such an approach to evidence-based practice is too impractical to be widely applied at present. More troublesomely, until patients come to trust decisions made computationally more than they trust their providers' intuitions, patient adherence will remain problematic. A good theory of integrative, collaborative health decision making remains needed.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.