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Integrated decision making: definitions for a new discipline.

Lyndal Trevena1, Alexandra Barratt

  • 1Screening and Test Evaluation Program, Department of General Practice, School of Public Health, The University of Sydney, Sydney, Australia. lyndalt@health.usyd.edu.au

Patient Education and Counseling
|August 6, 2003
PubMed
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A new discipline merging evidence-based medicine (EBM) and psychology offers tools for clinical decision-making. Integrated decision making (IDM) is proposed as a better name, improving evidence and patient preference integration.

Area of Science:

  • Clinical Decision Making
  • Health Psychology
  • Evidence-Based Practice

Background:

  • The integration of evidence-based medicine (EBM) with psychology has spurred new terminology for clinical decision-making.
  • Existing terms may not fully capture the evolving practitioner-patient relationship and the integration of evidence with patient preferences.

Purpose of the Study:

  • To provide a glossary of terms related to the practitioner-patient relationship in decision-making.
  • To define tools that facilitate evidence-based decision-making.
  • To propose and advocate for the term 'integrated decision making' (IDM) as a more suitable name for this emerging discipline.

Main Methods:

  • Literature review to identify and define terms.
  • Conceptual analysis to propose a new disciplinary name.

Related Experiment Videos

  • Argumentation to support the proposed term 'integrated decision making' (IDM).
  • Main Results:

    • A glossary of terms for practitioner-patient interactions in decision-making was compiled.
    • Key tools for facilitating evidence-based decision-making were identified.
    • The term 'integrated decision making' (IDM) was proposed as a more fitting descriptor for the discipline.

    Conclusions:

    • The proposed term 'integrated decision making' (IDM) better reflects the integration of scientific evidence with patient values and preferences.
    • IDM addresses concerns regarding barriers to integrating evidence and patient preferences in clinical practice.
    • This new terminology supports the changing dynamics of the practitioner-patient relationship in modern healthcare.