ArticleMedical decision making : an international journal of the Society for Medical Decision Making2014
A model to support shared decision making in electronic health records systems.
Article in Medical decision making : an international journal of the Society for Medical Decision Making, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed.
- Defining the strategies to advance health-literacy-friendly patient decision aids based on the ICA-NRM approach.BMC health services research · 2025Article
- Examining How Technology Supports Shared Decision-Making in Oncology Consultations: Qualitative Thematic Analysis.JMIR cancer · 2025Article
- Shared Decision-Making Tools Implemented in the Electronic Health Record: Scoping Review.Journal of medical Internet research · 2025Article
- Assessing the factors militating against the effective implementation of electronic health records (EHR) in Nigeria.Scientific reports · 2024Article
- Healthcare systems collaborating to implement a shared decision-making tool in the electronic health record and build evidence on its adoption and use.Learning health systems · 2024Article
- Provider perspectives on a point-of-care tool to facilitate patient-centered contraceptive care among Latina/x patients in Baltimore, MD.PEC innovation · 2023Article
- Digital encounter decision aids linked to clinical practice guidelines: results from user testing SHARE-IT decision aids in primary care.BMC medical informatics and decision making · 2023Article
- Determining the Development Strategy and Suited Adoption Paths for the Core Competence of Shared Decision-Making Tasks through the SAA-NRM Approach.International journal of environmental research and public health · 2022Article
- Implementing lung cancer screening in primary care: needs assessment and implementation strategy design.Translational behavioral medicine · 2022Article
- Factors Affecting the Initiation of a Shared Decision Making Program in Obstetric Practices.Healthcare (Basel, Switzerland) · 2021Article
- Integrating Option Grid Patient Decision Aids in the Epic Electronic Health Record: Case Study at 5 Health Systems.Journal of medical Internet research · 2021Article
- Patient-centered care and the electronic health record: exploring functionality and gaps.JAMIA open · 2020Article
- Adoption of an Electronic Patient Record Sharing Pilot Project: Cross-Sectional Survey.Journal of medical Internet research · 2020Article
- Shared Decision Making: From Decision Science to Data Science.Medical decision making : an international journal of the Society for Medical Decision Making · 2020Article
- OpenNotes and shared decision making: a growing practice in clinical transparency and how it can support patient-centered care.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Barriers to Completing Delayed Breast Reconstruction Following Mastectomy: a Critical Need for Patient and Clinician Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2017Article
- Computerized Decision Aids for Shared Decision Making in Serious Illness: Systematic Review.JMIR medical informatics · 2017Article
- Shared decision-making in medication management: development of a training intervention.BJPsych bulletin · 2017Article
- Shared decision-making using personal health record technology: a scoping review at the crossroads.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- Mammography Decision Aid Reduces Decisional Conflict for Women in Their Forties Considering Screening.Journal of women's health (2002) · 2015Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Shared decision making (SDM) is an approach to medical care based on collaboration between provider and patient, with both sharing in medical decisions. When patients' values and preferences are incorporated in decision making, care is more appropriate, ethically sound, and often lower in cost. However, SDM is difficult to implement in routine practice because of the time required for SDM methods, the lack of integration of SDM approaches into electronic health record (EHR) systems, and absence of explanatory mechanisms for providers on the results of patients' use of decision aids. This article discusses potential solutions, including the concept of a "personalize button" for EHRs. Leveraging a 4-phase clinical model for SDM, this article describes how computer decision support (CDS) technologies integrated into EHRs can help ensure that health care is delivered in a way that is respectful of those preferences. The architecture described herein, called CDS for SDM, is built on recognized standards that are currently integrated into certification requirements for EHRs as part of meaningful use regulations. While additional work is needed on modeling of preferences and on techniques for rapid communication models of preferences to clinicians, unless EHRs are redesigned to support SDM around and during clinical encounters, they are likely to continue to be an unintended barrier to SDM. With appropriate development, EHRs could be a powerful tool to promote SDM by reminding providers of situations for SDM and monitoring ongoing care to ensure treatments are consistent with patients' preferences.
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Registered trials
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.