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Updated: Jun 18, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
[The patient's role in evidence-based medicine]
J Carretier1, A Bataillard, B Fervers
1EA 4129 santé, individu, société, centre Léon-Bérard, université Lyon-1, 28, rue Laënnec, 69373 Lyon cedex 08, France. carretie@lyon.fnclcc.fr
Evidence-Based Medicine (EBM) has transformed healthcare, emphasizing patient preferences and shared decision-making. This approach prioritizes the patient
Area of Science:
- Medical Practice Evolution
- Healthcare Professional-Patient Dynamics
Context:
- Shift from paternalistic care to patient-centered models.
- Growing importance of Evidence-Based Medicine (EBM).
- Recognition of patient preference variability.
Purpose:
- To review the evolution of medical practice.
- To discuss the importance of shared decision-making.
- To highlight the shift towards patient-centered care.
Summary:
- Modern medical practice integrates Evidence-Based Medicine (EBM) and evolving doctor-patient relationships.
- Shared decision-making respects patient preferences, moving beyond information without choice.
- Focus shifts from disease to the patient experiencing the illness.
Impact:
- Empowers patients with information and participation in treatment decisions.
- Facilitates a collaborative approach to care management.
- Illustrated by an oncology program promoting patient involvement in multidisciplinary team decisions.
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