Shared decision-making and comparative effectiveness research for patients with chronic conditions: An urgent synergy for better health

Michael R. Gionfriddo, Aaron L. Leppin, Juan P. Brito, Annie Leblanc, Nilay D. Shah, Victor M. Montori

Research output: Contribution to journalReview article

12 Scopus citations

Abstract

Chronic conditions are the most important cause of morbidity, mortality and health expense in the USA. Comparative effectiveness research (CER) seeks to provide evidence supporting the relative value of alternative courses of action. This research often concludes with estimates of the likelihood of desirable and undesirable outcomes associated with each option. Patients with chronic conditions should engage with their clinicians in deciding which of these options best fits their goals and context. In practicing shared decision-making (SDM), clinicians and patients should make use of CER to inform their deliberations. In these ways, SDM and CER are interrelated. SDM translates CER into patient-centered practice, while CER provides the backbone evidence about options and outcomes in SDM interventions. In this review, we explore the potential for a SDM-CER synergy in improving healthcare for patients with chronic conditions.

Original languageEnglish (US)
Pages (from-to)595-603
Number of pages9
JournalJournal of Comparative Effectiveness Research
Volume2
Issue number6
DOIs
StatePublished - Nov 2013

Keywords

  • chronic condition
  • comparative effectiveness research
  • shared decision-making

ASJC Scopus subject areas

  • Health Policy

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