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May/June 2008 Annals of Family Medicine tip sheet
Date:5/12/2008

to clarify things inevitably bump up against the fundamental truth of clinical care: there is no answer, only a series of choices that change with time, information and human unpredictability.

Patients Prefer Pictures to Numbers to Express Cardiovascular Benefit From Treatment
By Felicity Goodyear-Smith, M.B.Ch.B., M.G.P., F.R.N.Z.C.G.P., et al

Understanding Uncertainty
By David J. Spiegelhalter, Ph.D., F.R.S.


Diabetes Flow Sheets May Improve Patient Care

Analyzing the medical records of more than 1,000 diabetic patients, researchers found that the use of medical record flow sheets may improve adherence to guidelines for diabetes assessment and treatment, but not intermediate outcome targets.

Diabetes Flow Sheet Use Associated With Guideline Adherence
By Karissa A. Hahn, M.P.H., et al


Using Decision Aids During the Office Visit to Improve Patient Satisfaction

Involving patients in decisions about their own health care by using decision aids tools designed to help people better understand the risks and benefits of different options during the patient-physician consultation appears to improve patient satisfaction and involvement. In a study of 1,132 patients, those who were exposed to a simple decision aid to facilitate shared decision making about cardiovascular disease prevention were more involved and expressed higher satisfaction with the decision-making process than those who were not. Additionally, those who used the decision aid showed less decisional regret after six months. Notably, cardiovascular disease risk decreased among all study participants, regardless of whether they were exposed to the decision aid.

Absolute Cardiovascular Disease Risk and Shared Decision Making in Primary Care: A Randomized Controlled Trial
By Tanja Krones, M.D., et al


New Diabetes Distress Screening Instrument

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Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

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