Shared decision-making - transferring research into practice: The Analytic Hierarchy Process (AHP)

PATIENT EDUCATION AND COUNSELING

卷:73

Article

Dolan, James G.

关键词: Shared decision-making;    Decision-making;    Doctor-patient communication;    Analytic Hierarchy Process;    Multi-criteria decision-making;   

DOI  :  10.1016/j.pec.2008.07.032

来源: Elsevier

【 摘 要 】

Objective: To illustrate how the Analytic Hierarchy Process (AHP) can be used to promote shared decision-making and enhance clinician-patient communication. Methods: Tutorial review. Results: The AHP promotes shared decision-making by creating a framework that is used to define the decision, Summarize the information available, prioritize information needs, elicit preferences and values, and foster meaningful communication among decision stakeholders. Conclusions: The AHP and related multi-criteria methods have the potential for improving the quality of clinical decisions and overcoming current barriers to implementing shared decision-making in busy clinical settings. Further research is needed to determine the best way to implement these tools and to determine their effectiveness. Practice implications: Many clinical decisions involve preference-based trade-offs between competing risks and benefits. The AHP is a well-developed method that provides a practical approach for improving patient-provider communication, clinical decision-making, and the quality of patient care in these situations. (C) 2008 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free