This book's focus is on the decisions taken in consultations between health care patients and professionals. Clinician- patient partnerships in health care decisions are increasingly advocated.Evidence- based patient choice describes a model of health care in which the evidence-based approach can integrate with the promotion of consumer choice. The book examines the traditional approach and the changing experience and expectations of consumers. It describes with many clinical examples and patient narratives how to practice evidence-based patient choice, and explores the ethical, sociological and economic issues raised. It also addresses the future modifications to professional training and organisational change which are required if evidence-based patient choice is to become the norm and speculates about what is likely to be achieved in the next few years. The book provides a summary of current perspectives in this area, which will be of interest to consumers, their representative groups, and to professionals in practice and training alike. From the foreword by Richard Grol: 'An enormous challenge lies before us. In this new and challenging fieldEvidence-based patient choice is manna from heaven. It summarises the current state of knowledge about these new patient involvement approaches. It is by far the most comprehensive account of scientific and ethical thinking about patient choice at this moment. And, it manages to show us the way to a potential future: health care provision where patients and professionals operate as real partners with shared goals...'
"This well designed book is clear, accessible and, as one would expect from the title, evidence-based ... I think this is a great book that challenges clinicians and others working in health care to develop and adapt to a rapidly changing and demanding world. Can we do it with support from patients? The answer is in the book!" Family Practice, Vol 19, No 3 "Before the last chapter, evidence-based patient choice could still be an option. After it, there's simply no argument." EBPC on Bandolier "This impressive edited book ... is truly excellent ... essential reading for all those interested in patient involvement and evidence-based health-care." Health Expectations, 5
Richard Grol: Foreword
Section 1 - Evidence-based health care
Elwyn, Edwards and Pollock: Evidence-based patient choice?
Muir Gray: Evidence-based medicine for professionals
Entwistle and O'Donnell: Evidence-based health care: what role for patients?
Section 2 - Theoretical perspectives on evidence-based patient choice
Ashcroft, Hope and Parker: Ethical issues and evidence-based patient choice
Scott: Health economics and patient choice
Bellaby: Evidence-based practice and risk: the sociology of health care grappling with knowledge and uncertainty
Section 3 - Conceptual development for clinical practice
Stewart and Brown: Patient-centredness in medicine
Elwyn and Charles: Shared decision making: the principles and the competencies
Section 4. Evidence-based choice in practice
Schofield: Evidence-based patient choice in primary health care
Rosenberg: Evidence-based patient choice in secondary care
Greenhalgh: Narrative and patient choice
O'Connor and Edwards: The role of decision aids in promoting evidence-based patient choice
Section 5. The next and possible future developments
Towle and Godolphin: Education and training of health care professionals
Holmes-Rovner, Llewellyn-Thomas and Elwyn: Moving to the mainstream
Eysenbach and Jadad: Consumer health informatics in the internet age
Coulter: The future