Navigation Links
Physicians Favor Patient Involvement in Decision Making, But Cite Barriers Such as Time and Money

Reform movement could break down barriers and reduce over-treatment and waste in system

BOSTON, March 19 /PRNewswire/ -- Most primary care physicians would like their patients to be better informed about their medications, the tests they undergo, the lifestyle changes that would improve their health, and the surgery options they are offered. The majority also favor shared medical decision-making, whereby doctors and patients work together to make decisions. However, they cite too little time and an unsympathetic reimbursement structure as major barriers to routinely involving and informing their patients in medical decisions, according to the largest national survey to date on physicians' attitudes about shared decision-making. Survey results of over 400 physicians, conducted by Lake Research Partners for the Foundation for Informed Medical Decision Making, were published in a white paper released March 19, 2009 to government, health policy, and consumer advocacy leaders.

"Our hope is that this timely report will encourage health reform advocates and leaders to keep the needs of patients and the concerns of physicians on this issue at the forefront as they design improvements to the infrastructure of our health care system," says Floyd J. Fowler, president of the Foundation for Informed Medical Decision Making.

The Foundation for Informed Medical Decision Making believes that informed decision-making is a patient's right and if patients are fully supported in exercising that right, health care costs and over-treatment will decline, while care will be more in line with what patients value.

"To truly transform our health care delivery system into one centered on the patient, we need to develop better tools and approaches to help patients make decisions about their care," says Debra L. Ness, President of the National Partnership for Women & Families. "When patients are given accurate and unbiased information about their treatment options, they tend to make more conservative and less invasive decisions that often result in better outcomes. The Foundation's research underscores the priority we must place on engaging patients in their care decisions and encouraging a model of active patient participation."

The Congressional Budget Office estimates that the US spends as much as $700 billion - 5 percent of the nation's entire GDP - on health care services that do not improve patients' outcomes. Health policy leaders are advocating for reimbursement reform to include patient's involvement in treatment choices and decisions as they identify key strategies to rein in the over consumption of ineffective medical care.

"Increasingly, patients are faced with medical decisions that have many options, uncertain outcomes, and benefits and harms that are valued differently by each individual," and "patients and providers bring different expertise to the decision," the paper's authors write. "Providers are mainly responsible for assimilating and appropriately applying evidence-based information, and patients are responsible for sharing their preferences." By using shared decision-making, they add, "physicians can determine which choice best matches what is most important to the patient and deliver high quality care that is "both evidence-based and patient-centered."

The survey questioned physicians on experiences with, benefits of, and barriers to shared decision-making. It also explored factors that influence if and when physicians engage patients in shared decision-making, their willingness to use patient decision aids that provide unbiased information in user-friendly ways, and their reactions to specific ideas for increasing patient involvement in shared decision-making.

The team found that overall physicians support the principle of shared decision-making. However, physicians identify the lack of adequate time with patients as a major challenge, and they raise some concern about the ability of patients to understand all they need to know

Overwhelmingly, physicians responded that reimbursement for the use of patient decision aids and time spent counseling patients around decision choices would allow physicians to fully embrace the shared decision-making process.

For specific findings and the complete white paper, go to

For a summary of the Foundation's February 4, 2009 Research and Policy Forum, go to

The Foundation for Informed Medical Decision Making's mission is to assure that people understand their choices and have the information they need to make sound decisions affecting their health and well being. The Foundation organizes and frames medical evidence in an unbiased manner to help people evaluate their options, particularly in instances where differences in individual preferences and perspectives are likely to affect personal choice.

SOURCE Foundation for Informed Medical Decision Making
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. U.S. Rep. Connolly, Inova Health System Physicians, Public Health Groups Call for Congressional Action to Protect Kids from Tobacco
2. Aspirin recommendation underscores need for physicians and patients to discuss benefits and risk
3. U.S. Rep. Connolly, Inova Hospital Physicians, Public Health Groups Call for Congressional Action to Protect Kids From Tobacco
4. Health Insurers to Make Major Investment in Primary Care, Patients and Physicians to Benefit
5. HCD Research and Muhlenberg College Will Use an Index to Monitor Physicians and Consumers Perceptions of Health Care Reform
6. Greenway Medical Technologies Interoperability Engine, PrimeExchange, Allows Physicians to Securely Share Patient Data Amongst Wide Range of Providers in Patients Care Continuum
7. ITelagen Issues Healthcare Stimulus Advisory for Physicians
8. MDS Nordion Launches Improved TheraSphere(R) Administration System for Physicians
9. Obama to Allow Forcing Doctors to Do Abortions, Says the Association of American Physicians and Surgeons (AAPS)
10. Survey: Few physicians support private banking of umbilical cord blood
11. Spokane Hospitals Engage Sound Inpatient Physicians(TM) as Hospitalists in Spokane
Post Your Comments:
(Date:11/28/2015)... ... , ... Safe storage for contraceptive devices may not always be easy to ... and the other from Bradley Beach, New Jersey, there is an easy solution to ... to replace NuvaRings more often than necessary. As such, it affords peace of mind ...
(Date:11/27/2015)... ... November 28, 2015 , ... There is only one major question facing ... last year? , This question has not been an easy question to answer. Especially ... age and the younger workforce don’t share the same discipline around working long hours. ...
(Date:11/27/2015)... ... 27, 2015 , ... The rapid speed at which Americans ... more care is needed, especially with Alzheimer’s, dementia and other cognitive conditions becoming ... The forgotten part of this equation: 80 percent of medical care occurs in ...
(Date:11/27/2015)... ... 27, 2015 , ... Lizzie’s Lice Pickers just announced a special promotion that ... of their purchase of lice treatment product. In addition, customers will receive a complimentary ... spokesperson. “Finding lice is a sure way to ruin the holidays, so we encourage ...
(Date:11/27/2015)... , ... November 27, 2015 , ... ... of progress through sharing, the 2016 Building Better Radiology Marketing Programs ... will begin on Sunday, March 6, 2016, at Caesars Palace in Las Vegas ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... Nov. 26, 2015 Research and Markets ... the "2016 Future Horizons and Growth Strategies ... Supplier Shares, Country Segment Forecasts, Competitive Intelligence, Emerging ... --> --> This ... the Italian therapeutic drug monitoring market, including emerging ...
(Date:11/25/2015)... , Nov. 25, 2015  Amgen (NASDAQ: AMGN ... Application (BLA) with the United States ... 501, a biosimilar candidate to Humira ® (adalimumab). ... application submitted to the FDA and represents Amgen,s first ... Sean E. Harper , M.D., executive vice president of ...
(Date:11/25/2015)... Nov. 25, 2015  ARKRAY USA ... to provide evidence demonstrating the accuracy of its blood ... on Insulin Resistance, Diabetes and Cardiovascular Disease in ... the Company,s GLUCOCARD ® 01 meter and the ... requirements. The ability to accurately measure glucose levels in ...
Breaking Medicine Technology: