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Related Experiment Videos

Informed adherence: the need for shared medical decision making.

W J Sieber1, R M Kaplan

  • 1Health Outcomes Assessment Program, Department of Family and Preventive Medicine, University of California, San Diego, CA 92093-0994, USA. bsieber@ucsd.edu

Controlled Clinical Trials
|October 6, 2000
PubMed
Summary
This summary is machine-generated.

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Patient adherence to cancer and cholesterol screening tests is often viewed as compliance. An outcomes model suggests shared decision-making, prioritizing patient benefit and informed choices about screening risks and benefits.

Area of Science:

  • Medical decision-making
  • Health outcomes research
  • Preventive medicine

Background:

  • Screening tests for colon cancer, breast cancer, and high cholesterol are common. Non-completion is often labeled as patient noncompliance.
  • Traditional biomedical models emphasize compliance for early disease detection and treatment initiation.

Purpose of the Study:

  • To review patient noncompliance with screening tests.
  • To compare the traditional biomedical model with an outcomes model for screening adherence.

Main Methods:

  • Literature review comparing two models of patient compliance with screening tests.
  • Analysis of the implications of each model on patient care and decision-making.

Main Results:

Keywords:
Biomedical and Behavioral ResearchHealth Care and Public Health

Related Experiment Videos

  • The traditional model views adherence as essential for early diagnosis.
  • The outcomes model advocates for shared medical decision-making, disclosing uncertainties, risks, and benefits to patients.
  • Screening can increase case identification but may also identify "pseudodisease" (clinically unimportant disease).

    • Conclusions:

    • An outcomes model promotes patient participation in healthcare decisions by providing information on screening risks and benefits.
    • Shared decision-making empowers patients to align screening choices with their personal health goals and values.