PMID: 11915844Mar 28, 2002Paper

The role of patients' meta-preferences in the design and evaluation of decision support systems

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
Jack Dowie

Abstract

The arrival of new analysis-based decision technologies will necessitate a profound rethinking both of the nature of the patient-doctor relationship and of the way aids and support systems designed to improve decision-making within that relationship are designed and evaluated. One-dimensional typologies of the traditional 'paternalist/shared/informed' sort do not provide the complexity called for by the heterogeneity of patient's 'meta-preferences' regarding their relationship with a doctor on the one hand and regarding the analytical level of judgement and decision-making on the other. A multidimensional matrix embodying this distinction is proposed as a framework of the minimal complexity required for the design and evaluation of the full range of decision aids and decision modes. Essentially aids should be conceived of and evaluated cell-specifically and the search for universally satisfactory decision support systems abandoned. 'shared' and'informed' are best interpreted as attributes which may or not be in line with a patient's meta-preferences. Future research should focus on the higher level goal of better decision-making, a goal that will need to respect and reflect these meta-preferences.

References

Jun 11, 1992·QRB. Quality Review Bulletin·J F KasperJ E Wennberg
Apr 1, 1995·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·T J WhelanD L Streiner
Jan 1, 1995·Medical Decision Making : an International Journal of the Society for Medical Decision Making·M Holmes-Rovner
Jan 1, 1995·Medical Decision Making : an International Journal of the Society for Medical Decision Making·A M O'Connor
Apr 1, 1993·The Journal of Family Practice·E J Volpintesta
Jan 1, 1996·Medical Decision Making : an International Journal of the Society for Medical Decision Making·M Holmes-RovnerG Talarczyk
Jul 1, 1996·Medical Decision Making : an International Journal of the Society for Medical Decision Making·H A Llewellyn-ThomasC D Naylor
Jun 1, 1997·Patient Education and Counseling·A M Skelton
Jul 29, 1998·Medical Decision Making : an International Journal of the Society for Medical Decision Making·M D BrundageP Groome
Jul 29, 1998·Medical Decision Making : an International Journal of the Society for Medical Decision Making·A M O'ConnorT Mackenzie
Jul 29, 1998·Social Science & Medicine·E Guadagnoli, P Ward
Jul 7, 1995·Health Care Analysis : HCA : Journal of Health Philosophy and Policy·J Dowie
Jan 8, 1996·Health Care Analysis : HCA : Journal of Health Philosophy and Policy·J Dowie
Mar 8, 1997·Journal of Health Services Research & Policy·A Coulter
May 7, 1999·Medical Decision Making : an International Journal of the Society for Medical Decision Making·G D SandersD K Owens
Sep 17, 1999·BMJ : British Medical Journal·A M O'ConnorJ Jones
Jan 19, 2000·Medical Decision Making : an International Journal of the Society for Medical Decision Making·S MolenaarH C de Haes
Dec 12, 2000·Quality in Health Care : QHC·A RobinsonUNKNOWN Decision Analysis in Routine Treatments Study (DARTS) team
Mar 10, 2001·Quality in Health Care : QHC·J Dowie
Apr 3, 2001·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Annette M. O'ConnorElizabeth Drake
Apr 3, 2001·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Vikki A. Entwistle
Jun 2, 2001·Medical Decision Making : an International Journal of the Society for Medical Decision Making·M H Eckman

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Citations

Aug 9, 2013·Sports Medicine and Arthroscopy Review·Andrew E FedererRichard C Mather
May 13, 2006·BMJ : British Medical Journal·Les IrwigPatrick Bossuyt
Jun 21, 2005·BMC Medical Informatics and Decision Making·Margaret Holmes-RovnerDavid R Rovner
Feb 2, 2006·American Journal of Public Health·Michael Joffe, Jennifer Mindell
Apr 30, 2005·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Angela Coulter
Apr 30, 2005·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Cathy CharlesMary Ann O'Brien
May 26, 2007·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Clare L EmmettUNKNOWN DiAMOND Study Group
May 20, 2006·BJOG : an International Journal of Obstetrics and Gynaecology·S S M WongH L Bekker
Nov 4, 2006·BJOG : an International Journal of Obstetrics and Gynaecology·C L EmmettUNKNOWN DiAMOND study group
May 26, 2006·Clinical Psychology : a Publication of the Division of Clinical Psychology of the American Psychological Association·Celia E Wills, Margaret Holmes-Rovner
May 20, 2011·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Alan Cribb, Vikki A Entwistle
Sep 8, 2006·Patient Education and Counseling·Elizabeth MurrayBernard Lo
Jun 11, 2009·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Denise BijlengaGouke J Bonsel
Jul 24, 2004·Medical Decision Making : an International Journal of the Society for Medical Decision Making·David R RovnerMargaret Holmes-Rovner
Nov 6, 2012·Medical Care Research and Review : MCRR·Hilary A Llewellyn-Thomas, R Trafford Crump
Sep 15, 2005·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Malcolm Man-Son-HingAndreas Laupacis
Sep 18, 2007·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Margaret Holmes-RovnerRosaly Correa-de-Araujo
Nov 13, 2008·Medical Care Research and Review : MCRR·Karen Sepucha, Albert G Mulley
Jun 1, 2008·Expert Review of Pharmacoeconomics & Outcomes Research·Elizabeth Murray
Jul 10, 2009·The Cochrane Database of Systematic Reviews·Kaveh G ShojaniaJeremy Grimshaw
Feb 6, 2020·International Journal of Environmental Research and Public Health·Jesús Molina-Mula, Julia Gallo-Estrada
Feb 11, 2004·Current Opinion in Rheumatology·John R Kirwan

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