Medical communication and technology: a video-based process study of the use of decision aids in primary care consultations.

ABSTRACT:

Background

Much of the research on decision-making in health care has focused on consultation outcomes. Less is known about the process by which clinicians and patients come to a treatment decision. This study aimed to quantitatively describe the behaviour shown by doctors and patients during primary care consultations when three types of decision aids were used to promote treatment decision-making in a randomised controlled trial.

Methods

A video-based study set in an efficacy trial which compared the use of paper-based guidelines (control) with two forms of computer-based decision aids (implicit and explicit versions of DARTS II). Treatment decision concerned warfarin anti-coagulation to reduce the risk of stroke in older patients with atrial fibrillation. Twenty nine cons

SUBMITTER: Kaner E 

PROVIDER: S-EPMC1781432 | biostudies-literature | 2007 Jan

REPOSITORIES: biostudies-literature