Patient values and preferences | Rely on subjective assessments of individual physicians and other health care providers in your practice and patient values and preferences obtained during patient encounters |
|
SDM | What do you seek to measure?
Decision antecedents: preparedness for decision making
Decision process: for example, decisional conflict
Decision outcome: for example, decision regret
|
Electronic medical records not yet designed to support SDM Wide variation in the quality of patient decision aids. Seek decision aids that provide estimates of harms and benefits with use of natural frequencies or absolute risk
|
Practice complexity* | Consider the following:
basic demographic measures that include age, sex, and comorbidity of patients in individual practices registries of patients who would be eligible for screening tests flexible targets based on the demographic and social characteristics of the practice setting the role of multidisciplinary team members in practice
|
Lack of risk-adjustment tools, instruments, or processes to measure complexity in the primary care setting23,46 Multiple preventive screening tests for the same patient Screening in patients with comorbidity (eg, diabetes) Screening in disadvantaged populations Individual patient goals, priorities, and needs influence uptake of screening interventions (eg, not all patients will accept recommendations regardless of the strength of the recommendation) Individual patient risk factors, circumstances, and priorities influence the time frame for uptake of screening interventions
|