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Shared decision making in preventive health care

What it is; what it is not

Roland Grad, France Légaré, Neil R. Bell, James A. Dickinson, Harminder Singh, Ainsley Elizabeth Moore, Danielle Kasperavicius and Kaylyn L. Kretschmer
Canadian Family Physician September 2017; 63 (9) 682-684;
Roland Grad
Associate Professor in the Department of Family Medicine at McGill University in Montreal, Que.
MD CM MSc CCFP FCFP
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France Légaré
Tier 1 Chairholder of the Canada Research Chair in Shared Decision Making and Knowledge Translation and Full Professor in the Department of Family Medicine and Emergency Medicine at Laval University in Quebec city, Que.
MD MSc PhD FCFP
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Neil R. Bell
Professor in the Department of Family Medicine at the University of Alberta in Edmonton.
MD SM CCFP FCFP
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James A. Dickinson
Professor in the Department of Family Medicine and the Department of Community Health Sciences at the University of Calgary in Alberta.
MB BS CCFP PhD FRACGP
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Harminder Singh
Associate Professor in the Department of Internal Medicine and in the Department of Community Health Sciences at the University of Manitoba in Winnipeg and in the Department of Hematology and Oncology for CancerCare Manitoba.
MD MPH FRCPC
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Ainsley Elizabeth Moore
Associate Professor in the Department of Family Medicine at McMaster University in Hamilton, Ont.
MD MSc CCFP
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Danielle Kasperavicius
Research coordinator for the Knowledge Translation program at St Michael’s Hospital in Toronto, Ont.
MPH
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  • For correspondence: kasperavicid@smh.ca
Kaylyn L. Kretschmer
Business Partner, Stakeholder Engagement at the BC Safety Authority in New Westminster, BC.
MSc
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    Figure 1.

    A 1000-person tool illustrating outcomes for 1000 eligible people screened for lung cancer with low-dose computed tomography

    Reproduced from the Canadian Task Force on Preventive Health Care with permission.3

Tables

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    Table 1.

    The SURE test: A response of yes scores 1 and a response of no scores 0; a score of < 4 is a positive result for the patient to be at risk of clinically significant decisional conflict.

    SURE ACRONYMTEST
    Sure of myselfDo you feel SURE about the best choice for you?
    Understand informationDo you know the benefits and risks of each option?
    Risk-benefit ratioAre you clear about which benefits and risks matter most to you?
    EncouragementDo you have enough support and advice to make a choice?
    • Copyright O’Connor and Légaré, 2008.

    • Reprinted from Légaré et al.11

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Canadian Family Physician: 63 (9)
Canadian Family Physician
Vol. 63, Issue 9
1 Sep 2017
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Shared decision making in preventive health care
Roland Grad, France Légaré, Neil R. Bell, James A. Dickinson, Harminder Singh, Ainsley Elizabeth Moore, Danielle Kasperavicius, Kaylyn L. Kretschmer
Canadian Family Physician Sep 2017, 63 (9) 682-684;

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Shared decision making in preventive health care
Roland Grad, France Légaré, Neil R. Bell, James A. Dickinson, Harminder Singh, Ainsley Elizabeth Moore, Danielle Kasperavicius, Kaylyn L. Kretschmer
Canadian Family Physician Sep 2017, 63 (9) 682-684;
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  • Qualite du processus de depistage: Un facteur critique neglige et un element essentiel de la prise de decision partagee concernant le depistage
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  • Choosing guidelines to use in your practice
  • Choisir les guides de pratique clinique a utiliser
  • Supporting adults with intellectual and developmental disabilities to participate in health care decision making
  • Comprendre et expliquer le risque: Mesurer les resultats et lampleur des bienfaits et des prejudices
  • Understanding and communicating risk: Measures of outcome and the magnitude of benefits and harms
  • Clarifier les valeurs et preferences des patients pour eclairer la prise de decision partagee sur le depistage preventif
  • Eliciting patient values and preferences to inform shared decision making in preventive screening
  • Periodic preventive health visits: a more appropriate approach to delivering preventive services: From the Canadian Task Force on Preventive Health Care
  • Visites medicales preventives periodiques : une meilleure prestation des services de prevention: Par le Groupe detude canadien sur les soins de sante preventifs
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