Developing, implementing, and evaluating decision support systems for shared decision making in patient care: a...

Area of Science:

• Medical Informatics
• Health Services Research
• Decision Science

Background:

• Growing emphasis on patient-centered care necessitates incorporating patient preferences into clinical decisions.
• Medical informatics offers tools to improve patient-centered care through decision support systems (DSS).
• Developing effective DSS for patient preferences requires integrating diverse knowledge domains.

Purpose of the Study:

• To present a conceptual model for developing and implementing DSS for shared decision-making.
• To outline eight key components essential for creating effective patient preference DSS.
• To illustrate the model's application using the CHOICE system for rehabilitation patients.

Main Methods:

• Literature review and conceptual model development.
• Integration of knowledge from clinical domains, decision science, medical informatics, and organizational knowledge.
• Case study illustration using the CHOICE decision support system.

Main Results:

• A conceptual model with eight key components for DSS development in shared decision-making.
• Identification of critical factors for integrating patient preferences into clinical workflows.
• Demonstration of the CHOICE system's utility in eliciting and integrating patient preferences.

Conclusions:

• Effective DSS for shared decision-making require a multidisciplinary approach.
• The proposed conceptual model provides a framework for developing and evaluating patient preference DSS.
• Successful implementation hinges on considering clinical, decision science, informatics, and organizational factors.