Literatuur over digitale keuzehulpen

Latenstein, C.S.S., van Wely, B.J., Klerkx, M. et al.  Reduced Elective Operation Rates and High Patient Satisfaction After the Implementation of Decision Aids in Patients with Gallstones or an Inguinal Hernia,  World J Surg (2019)

Patiënten met galstenen of een liesbreuk die samen met hun arts via een keuzehulp kunnen kiezen uit opereren of afwachten, kiezen vaker voor afwachten. Volgens de onderzoekers zou een landelijke invoering van keuzehulpen kunnen leiden tot een potentiële kostenreductie van ruim 19 miljoen euro door besparing van OK gebruik. Hoe reëel die schatting is en welk effect dit op de tevredenheid van patiënten heeft wordt nader onderzocht.

Stacey D, e.o. Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews 2017, Issue 4.

“Compared to usual care across a wide variety of decision contexts, people exposed to decision aids feel more knowledgeable, better informed, and clearer about their values, and they probably have a more active role in decision making and more accurate risk perceptions. There is growing evidence that decision aids may improve values‐congruent choices. There are no adverse effects on health outcomes or satisfaction. New for this updated is evidence indicating improved knowledge and accurate risk perceptions when decision aids are used either within or in preparation for the consultation. Further research is needed on the effects on adherence with the chosen option, cost‐effectiveness, and use with lower literacy populations.’

JIPPA studie

Elwyn G, Frosch D, Thomson R, et al. Shared Decision Making: A Model for Clinical Practice. Journal of General Internal Medicine. 2012;27(10):1361-1367. doi:10.1007/s11606-012-2077-6.

‘Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is shared and patients are supported to deliberate and express their preferences and views during the decision making process. To accomplish these tasks, we propose a model of how to do shared decision making that is based on choice, option and decision talk. The model has three steps: a) introducing choice, b) describing options, often by integrating the use of patient decision support, and c) helping patients explore preferences and make decisions. This model rests on supporting a process of deliberation.’