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Updated: Jul 14, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
[Shared decision-making based on equal information. Patient guidelines as a tool for patient counseling]
Sylvia Sänger1, Ina Kopp, Gerhard Englert
1Arztliches Zentrum für Qualität in der Medizin-gemeinsames Institut von Bundesärztekammer und Kassenärztlicher Bundesvereinigung, Berlin. saenger@azq.de
Abstract:
In discussions on the quality of cross-sectorial health-care services high importance is attributed to patient education and patient counseling, with guideline-based patient information being considered a crucial tool. Guideline-based patient information is supposed to serve patients as a decision-making basis and, in addition, to also support the implementation of the guidelines themselves. The article highlights how patient guidelines for National Disease Management Guidelines in Germany--within the scope of patient education and patient counseling--may provide a uniform information platform for physicians and patients aiming to promote shared decision-making. The authors will also address the issue which contents should be included in patient guidelines in order to meet these requirements and which measures are required to review their quality. The present paper continues the series of articles on the Program for German National Disease Management Guidelines.
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