The BMJ has published a series of articles on patient centred care, including articles on: Decision aids: a new model that brings clinicians and patients together Experience based co-design: patients and staff as co-designers of healthcare Social media: providing patients with support, information and friendship The case for patient reported outcome measures in practice Delivering…
The BMJ has launched a new strategy to promote patient partnership. The internal changes the BMJ has introduced as part of this strategy were co–produced with the members of its new international patient advisory panel and are aimed at making patient partnership integral to the way the journal works and thinks, as well as something they advocate for in healthcare. Steps taken…
The BMJ has published an article on communicating risk to patients and how to improve the communication of research findings. The article identifies that odds ratios are not well understood and when communicating risks to patients,and it is important to be able to frame the statistics in a meaningful and easily understood metric. This…
In recent decades, rapid advances in the biosciences have delivered an explosion of treatment options. This is good news for patients, but it makes medical decision making more complicated. Most critically, an accurate medical diagnosis is no longer sufficient to identify the proper treatment. Just as important is an accurate preference diagnosis. Every option for treatment (a term used broadly to include procedures, tests, and even watchful waiting) has a unique profile of risks, benefits, and side effects. Doctors, generalists as well as specialists, cannot recommend the right treatment without understanding how the patient values the trade-offs. Regrettably, patients’ preferences are often misdiagnosed. The authors of the article outline a method for making better preference diagnoses.
Online tests purporting to help people assess themselves for everything from dehydration to cancer are proliferating, but are they a distraction from what we know works in health education, and do we have evidence that they are useful, asks Margaret McCartney in an article in this week’s BMJ. The article explores some of the growing number of online checkers, or symptom assessment tools, such as depression questionnaires, asthma checks and cancer screening checks. The author asks whether this kind of test is appropriate, and whether the people using them are well enough informed with the best evidence.
Hospital consultants do not provide enough online information on their performance for patients to make informed choices about their treatment, according to a study by Northumbria University. The study evaluated websites of 200 consultant orthopaedic surgeons across the north of England. The study found that half of the websites failed to provide information about patient satisfaction, while less than 3% presented mortality rates and none gave an indication of morbidity rates — the incidence of complications related to orthopaedic procedures. Researchers found that although the majority of the websites were accessible, there were questions around who had written the information and how frequently the information had been updated.
The communication of risk to patients is an important and often difficult aspect of clinical practice. This clinical review in the BMJ aims to provide a comprehensive and up to date overview of current evidence in this developing area. The article explores what communicating risk means, why it is important and what the barriers are to doing it well. The authors also explore the various methods that can be used to communicate risk, and include useful case studies which demonstrates the key aspects of good risk communication. This is a useful article for anyone including the discussion of risk as part of information resources.
An article in this weeks BMJ reports that there is growing concern among some health organisations about the Department of Health’s recent consultation on shared decision making. The article states that several health policy experts and organisations in England are calling on the government to drop or at least rebrand the consultation, which they say is “misleading and damaging.” In her King’s Fund blog this week, Angela Coulter also asks the DH to ‘Please stop muddling shared decision-making and provider choice’.
The winners of the BMJ Group Improving Health awards were announced this week. The award for best Healthcare Communication Campaign, which recognises a campaign or a communication to educate patients on health, was 90TEN with 56 Dean Street, G-A-Y club and Boyz Magazine. The team developed a community led health campaign to raise awareness of the importance of regular HIV testing among London’s gay men. The Guinness World Record Attempt to carry out as many HIV tests as possible gained widespread support, over 467 people were tested at G-A-Y bar (breaking the world record) and the project raised over £12,000 for the Elton John AIDS Foundation. The campaign was widely reported by gay media agencies and was widely tweeted and blogged during the day.
This article in this weeks BMJ, discusses why shared decision making is important and highlights some examples of best practice. The authors explore best practices for implementation, including patient decision aids and short decision support tools, and simple strategies for individual clinicians and debate what the medical profession can do.
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