I thought this article from JAMA might be of interest to some - I have not read the whole article, just the abstract.

Janice Reynolds



Communicating Evidence for Participatory Decision Making

Ronald M. Epstein, MD; Brian S. Alper, MD, MSPH; Timothy E. Quill, MD

Takehome:  There is a paucity of evidence to guide how physicians can most effectively share clinical evidence with patients facing decisions; however, basing our recommendations largely on related studies and expert opinion, we describe means of accomplishing 5 communication tasks to address in framing and communicating clinical evidence: understanding the patient's (and family members') experience and expectations; building partnership; providing evidence, including a balanced discussion of uncertainties; presenting recommendations informed by clinical judgment and patient preferences; and checking for understanding and agreement.

http://jama.ama-assn.org/cgi/content/abstract/291/19/2359

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