Applying population level evidence with individual patients: An HRT decision aid example Lyndal Trevena, Alex Barratt, Les Irwig. Sydney Health Decision.

Slides:

Advertisements

Similar presentations

National Treatment Agency September 2009 Needs Assessment and the balanced treatment system 25 October 2010 London.

Advertisements

Evidence Based Practice MMR Vaccine Who Has Concerns About the Safety of This Vaccine?

SCID Review Discussion. Decision Matrix Key Questions 1.This is the overarching question for the evidence review: Is there direct evidence that screening.

Introduction to the User’s Guide for Developing a Protocol for Observational Comparative Effectiveness Research Prepared for: Agency for Healthcare Research.

©PPRNet 2014 Designing a PPRNet PCORI Application to Improve Adherence to USPSTF Grade D Recommendations for Cancer Screening.

SYDNEY MEDICAL SCHOOL Shared decision-making in Australia: Improving evidence- based decision-making between clinicians and their patients Lyndal Trevena.

Concepts Decision Support as a Clinical Skill Module I: Key Concepts Last update: September 2008.

EBM - Background A Canadian connection! – The term "evidence based medicine" was coined at McMaster University’s Medical School in the 1980's to label.

Monitoring and Screening HINF Medical Methodologies Session 10.

Evidence Based Surgical Nursing – Reviewing the Evidence Carl Thompson Dept of Health Sciences, University of York.

Ethics DEFINITIONS Values Morals Ethics Ethical dilemma

Patient decision aids: why, what, how, where? Dawn Stacey RN, PhD Research Chair in Knowledge Translation to Patients Full Professor, School of Nursing.

Implementing Patient Decision Aids in Clinical Practice October 2014 Dawn Stacey RN, PhD Research Chair in Knowledge Translation to Patients Full Professor,

Clinical Practice Guidelines

Be a Breast Friend Show them you care about more than their hair!

Addressing Ethics Conflicts Recognizing and addressing is essential for quality health care Training materials from Rural Health Care Ethics: A Manual.

©2011 the Strategic Projects TeamPart of the Strategy & Policy Directorate Embedding Shared Decision Making in Routine Care Dr Steven

Critical Appraisal of Clinical Practice Guidelines

Decision Support as a Clinical Skill Module III: Decision aids designed for specific decisions Last update: September 2008.

Copyright 2011 Right Care The Accountable Integrated Care System Sept 2011 Commissioning for Value.

Navigating the Cochrane Clinical Answers website.

The level of evidence utilized to answer general practitioners’ questions Karen Davies.

The Right Care Shared Decision Making Programme Dr Steven Laitner GP and National Clinical Lead for Shared Decision Making.

Joe Selby, MD MPH EBRI December 15, 2011 What Might Patient (Employee)- Centered Research Look Like?

Toward Shared Decision Making as the Norm: What we All Can Do Thomas Workman, Ph.D., American Institutes for Research.

EVIDENCE BASED MEDICINE Effectiveness of therapy Ross Lawrenson.

Evidence, guidelines and practice: the way forward in a digital age SYDNEY 11 April, 2013 Bill Runciman Professor – Patient Safety & Healthcare Human Factors.

Maria E. Suarez-Almazor, MD, PhD Houston CERTs Using Decision Aids to Enhance Shared-Decision Making.

Information, Quality and Values Donal O’Donoghue National Clinical Director for Kidney Care Working for better kidney care UKRR and NHS Kidney Care Information.

Shared Decision Making in the NHS Sue Kennedy National Shared Decision Making Programme Manager.

CHAPTER 28 Translation of Evidence into Nursing Practice: Evidence, Clinical practice guidelines and Automated Implementation Tools.

Evidence-based shared decision-making (EB SDM) A neglected research topic David L. Hahn, M.D., M.S. (Epidemiology) Dept. Family Practice, Dean Medical.

Executive Series 1 Shared Decision-making: An Essential Resource for Patient-Centered Care Based on Science Alliance for Health Reform February 14, 2010.

What is shared decision making? Richard Thomson Professor of Epidemiology and Public Health Associate Dean for Patient and Public Engagement Decision Making.

TOWARDS RECOVERY CLINICS Patient Care. Community Fit. An Integrated Approach to Comprehensive Treatment.

Evidence Based Medicine. What is Evidence Based Medicine? What qualifies as Evidence Based Medicine? Does Airrosti treat patients by utilizing an Evidence.

Workshop 18 th May 2010, Brussels Applying the Value+ model on patient involvement in HTA processes.

What we’re working on.. Defining the role of different types of evidence in decision-making. Develop tools to go from evidence to decisions about clinical.

Health Inequalities Impact Assessment (HIIA) Pauline Craig Head of Equality NHS Health Scotland What works for HIIA?

Promoting Patient Involvement in Medication Decisions David H. Hickam, MD, MPH Professor, Dept. of Medicine Oregon Health & Science University Portland,

Clinicians Guide to Evidence Based Practice Andre Ishmael, SPT University of Central Florida Doctor of Physical Therapy Class of 2014.

From EBM to SDM: Michel Labrecque MD PhD Michel Cauchon MD Department of Family and Emergency Medicine Université Laval Teaching how to apply evidence.

THE INTERFACE BETWEEN SOCIAL WORK AND LAW Hospital social work and decision making capacity.

PCMH Preparedness for Medical Decision-Making: Patients and Clinicians Using Shared Decision Making Tools John G. King, MD, MPH November 6, 2009.

Health Promotion and Screening WOMEN’S HEALTHCARE: DIAGNOSIS AND MANAGEMENT.

From EBM to SDM: Michel Labrecque MD PhD Michel Cauchon MD Department of Family and Emergency Medicine Université Laval Teaching how to apply evidence.

Understanding Health Economics Nicola Cooper, PhD Professor of Healthcare Evaluation Research Department of Health Sciences University of Leicester

1. RightCare, Shared Decision Making and Health Coaching Robert Ferris-Rogers Delivery Partner, NHS RightCare 19 th and 26 th September 2016.

Fig. 1. Framework of developing a guideline for cervical cancer screening. ① Benefits of pap test screening, ② harms of pap test screening, ③ accuracy.

Patient Focused Drug Development An FDA Perspective

1.05 Effective Healthcare Teams

Module 3: Orientation to Research

Rimmert van der Kooij Empower healthcare workers, with the right organizational and IT support Main objective: “How can the activities performed by both.

Choosing Wisely New Zealand

Ontario Colposcopy Clinical Guidance 2016

Definition of Cancer Screening

Evolve Better care. Better decision-making. Better use of resources.

WHO KNOWS – HOW DO WE KNOW

Diagnostic Options for Assessment of Postmenopausal Bleeding

مرحباً بك في جامعة نورثرن آيوا. WELCOME TO UNI

Open enrollment is on the horizon Open enrollment is on the horizon

Open enrollment is on the horizon Open enrollment is on the horizon

Please join us in celebrating. . .

The Research Question Background: Question:

Module 5: Formulating Research Questions

1.05 Effective Healthcare Teams

1.05 Effective Healthcare Teams

Evolve Better care. Better decision-making. Better use of resources.

Introduction to Evidence Based Medicine

1.05 Effective Healthcare Teams

Presentation transcript:

Applying population level evidence with individual patients: An HRT decision aid example Lyndal Trevena, Alex Barratt, Les Irwig. Sydney Health Decision Group The University of Sydney, Australia

Haynes 2002 A framework for clinical decision-making : Clinical expertise Clinical state and circumstances Patients’ preferences and actions Research evidence

Decision aids Decision aids are designed to enable people to: –Understand the probable outcomes of options by providing information relevant to the decision –Consider the personal value they place on benefits versus harms by helping clarify preferences –Move through the steps in decision-making and; –Participate in deciding about their healthcare O’Connor (2003)

Making decisions: Should I use hormone replacement therapy? (HRT)

Making decisions: Should I use hormone replacement therapy? (HRT)

Sydney Health Decision Group Projects Existing Decision Aids Vaccines: MMR Screening: Mammography Mammography FOBT years HPV testing for cervical atypia Obstetric:ECV for breech Analgesia in labour Oncology:Various