AHRQ-Funded Articles Propose Strategies for Increasing Shared Decision-Making

Issue #552
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
January 31, 2017

AHRQ Stats: End-of-Life Care

In 2014, hospice patients who were age 65 and older reported receiving care consistent with their end-of-life wishes about 95 percent of the time. (Source: Agency for Healthcare Research and Quality, 2015 National Healthcare Quality and Disparities Report Chartbook on Person- and Family-Centered Care.)

Today's Headlines:

AHRQ-Funded Articles Propose Strategies for Increasing Shared Decision-Making

The January issue of Patient Education & Counseling includes six AHRQ-funded articles and an editorial that discuss using evidence to facilitate shared decision-making between clinicians and patients. Articles in the journal offer strategies for reducing barriers to shared decision-making, which may include low health literacy, patients’ tendencies to defer decision-making to clinicians, inadequate skills among clinicians to communicate evidence to patients, and clinical environments that do not support patient involvement in making treatment choices. According to an editorial by Monique D. Cohen, Ph.D., M.P.H., health science administrator at AHRQ, the potential benefits of shared decision-making will not be realized unless policies and programs are enacted to increase participation among patients and families.

New AHRQ Publications Summarize Evidence on the Management of Gout

New evidence-based publications from AHRQ can help clinicians and patients make informed decisions about managing gout, a common form of arthritis that results from excessive uric acid in the blood and causes severe pain, swelling, redness and joint stiffness. Diagnosis and Management of Gout: Current State of the Evidence is a publication for clinicians that summarizes findings of two AHRQ-funded systematic reviews that examined the evidence about the accuracy and safety of diagnostic tests and the effectiveness of treatments for patients with acute gout attacks. The clinician publication cites a strong body of evidence supporting the effectiveness of several treatments and therapies for gout, but emphasizes the importance of clinicians and patients working together to decide which approach might be best. Also available is a continuing education module based on the evidence review, as well as a plain-language publication for patients, Managing Gout—A Review of the Research for Adults. Call (800) 358-9295 or email AHRQPubs@ahrq.hhs.gov for printed copies of the patient publication.

AHRQ Training Modules Available For Improving Informed Consent

Two new training modules developed by AHRQ are available to help hospital executives and other health care professionals improve the informed consent process. The modules aim to support better communication with patients, who often do not understand the risks, benefits and alternatives of their treatments even after signing consent forms. The Joint Commission is offering free continuing education credits (continuing education and continuing medical education) for taking AHRQ’s Making Informed Consent an Informed Choice modules. Learn more about the modules and how organizations that do not participate in Joint Commission accreditation may obtain them from AHRQ, and access a guide to implementing the modules.

Register Now: March 2 Webinar To Highlight AHRQ-Funded Projects on Patient Safety and Medical Liability

A webinar on March 2 from noon to 1 p.m. ET will highlight several AHRQ-funded grant projects that explored the relationships between patient safety initiatives and medical liability. The webinar is sponsored by Health Services Research, which recently published a special issue highlighting grant findings. Among other topics, webinar presenters will discuss recent advancements in patient safety and medical liability research, as well as the role of resolution programs in fostering patient safety improvements and supporting patient-centered care. Webinar attendance is free, but advance registration is required.

New Research and Evidence From AHRQ

AHRQ in the Professional Literature

Evaluating community health centers' adoption of a new global capitation payment (eCHANGE) study protocol. Angier H, O'Malley JP, Marino M, et al. Contemp Clin Trials 2017 Jan;52:35-8. Epub 2016 Nov 9. Access the abstract on PubMed®.

Determinants of potentially inappropriate medication use among community-dwelling older adults. Miller GE, Sarpong EM, Davidoff AJ, et al. Health Serv Res 2016 Sep 29. [Epub ahead of print.] Access the abstract on PubMed®.

Trend in ventilator-associated pneumonia rates between 2005 and 2013. Metersky ML, Wang Y, Klompas M, et al. JAMA 2016 Dec 13;316(22):2427-9. Access the abstract on PubMed®.

Use of Six Sigma for eliminating missed opportunities for prevention services. Gittner LS, Husaini BA, Hull PC, et al. J Nurs Care Qual 2015 Jul-Sep;30(3):254-60. Access the abstract on PubMed®.

Implementation of a nursing home quality improvement project to reduce resident pain: a qualitative case study. Abrahamson K, DeCrane S, Mueller C, et al. J Nurs Care Qual 2015 Jul-Sep;30(3):261-8. Access the abstract on PubMed®.

Survey of the methods and reporting practices in published meta-analyses of test performance: 1987 to 2009. Dahabreh IJ, Chung M, Kitsios GD, et al. Res Synth Methods 2013 Sep; 4(3):242-55. Epub 2013 Jul 26. Access the abstract on PubMed®.

High-dimensional propensity score algorithm in comparative effectiveness research with time-varying interventions. Neugebauer R, Schmittdiel JA, Zhu Z, et al. Stat Med 2015 Feb 28;34(5):753-81. Epub 2014 Dec 8. Access the abstract on PubMed®.

Evaluation of herbal and dietary supplement resource term coverage. Manohar N, Adam TJ, Pakhomov SV, et al. Stud Health Technol Inform 2015; 216:785-9. Access the abstract on PubMed®.

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Page last reviewed February 2017
Page originally created January 2017
Internet Citation: AHRQ-Funded Articles Propose Strategies for Increasing Shared Decision-Making. Content last reviewed February 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/e-newsletter/552.html