Shared decision-making in the medical encounter: what does it mean?(or it takes at least two to tango)

C Charles, A Gafni, T Whelan - Social science & medicine, 1997 - Elsevier
Shared decision-making is increasingly advocated as an ideal model of treatment decision-making
in the medical encounter. To date, the concept has been rather poorly and loosely …

Decision-making in the physician–patient encounter: revisiting the shared treatment decision-making model

C Charles, A Gafni, T Whelan - Social science & medicine, 1999 - Elsevier
In this paper we revisit and add elements to our earlier conceptual framework on shared
treatment decision-making within the context of different decision-making approaches in the …

What matters most in end-of-life care: perceptions of seriously ill patients and their family members

DK Heyland, P Dodek, G Rocker, D Groll, A Gafni… - Cmaj, 2006 - Can Med Assoc
Background: Initiatives to improve end-of-life care are hampered by our nascent understanding
of what quality care means to patients and their families. The primary purpose of this …

What do we mean by partnership in making decisions about treatment?

C Charles, T Whelan, A Gafni - Bmj, 1999 - bmj.com
For many decades, the dominant approach to making decisions about treatment in the
medical encounter has been one of paternalism. 1–7 In recent years this model has been …

[HTML][HTML] Less-tight versus tight control of hypertension in pregnancy

…, J Menzies, J Sanchez, J Singer, A Gafni… - … England Journal of …, 2015 - Mass Medical Soc
Background The effects of less-tight versus tight control of hypertension on pregnancy
complications are unclear. Methods We performed an open, international, multicenter trial …

[PDF][PDF] The practice guidelines development cycle: a conceptual tool for practice guidelines development and implementation.

…, RS Hayward, KI Pritchard, A Gafni… - Journal of Clinical …, 1995 - researchgate.net
Purpose: To develop a conceptual tool for the system-aticdevelopment of cancer treatment
practice guidelines. Materials and Methods: The guidelines development tool, the Practice …

A shared treatment decision‐making approach between patients with chronic conditions and their clinicians: the case of diabetes

VM Montori, A Gafni, C Charles - Health Expectations, 2006 - Wiley Online Library
In this paper, we discuss the Charles et al. approach to shared treatment decision‐making (STDM)
as applied to patients with chronic conditions and their clinicians. We perceive …

Quality-adjusted life years, utility theory, and healthy-years equivalents

A Mehrez, A Gafni - Medical decision making, 1989 - journals.sagepub.com
Decisions about medical treatments and the settings of health programs are not purely
technical, but also involve issues of value such as the evaluation of trade-offs between quality of …

Health care contingent valuation studies: a review and classification of the literature

A Diener, B O'Brien, A Gafni - Health economics, 1998 - Wiley Online Library
Purpose: The contingent valuation method (CVM) is a survey‐based approach for eliciting
consumer's monetary valuations for programme benefits for use in cost‐benefit analysis (CBA)…

[HTML][HTML] A randomized trial of planned cesarean or vaginal delivery for twin pregnancy

…, AR Willan, AC Allen, BA Armson, A Gafni… - … England Journal of …, 2013 - Mass Medical Soc
Background Twin birth is associated with a higher risk of adverse perinatal outcomes than
singleton birth. It is unclear whether planned cesarean section results in a lower risk of …