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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Transforming Patient-Centered Care: Development of the Evidence Informed Decision Making through Engagement Model.

Jennifer E Moore1, Marita G Titler2, Lisa Kane Low2

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A new patient-centered implementation model is needed to improve health outcomes by engaging patients in evidence-based care. The Evidence Informed Decision Making through Engagement Model integrates women into healthcare, enhancing outcomes for both patients and clinicians.

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Area of Science:

  • Health Services Research
  • Implementation Science
  • Patient-Centered Care

Background:

  • Current implementation models often overlook the crucial role of patients in adopting evidence-based care.
  • The Affordable Care Act necessitates improved methods for patient engagement in healthcare.
  • A gap exists in models that capture the patient's perspective in evidence implementation.

Purpose of the Study:

  • To evaluate and develop a patient-centered implementation model.
  • To explore patient activation and shared decision-making within an implementation framework.
  • To address the need for models that integrate patients into evidence-based practice.

Main Methods:

  • Qualitative data from an elective induction of labor study were mapped to an implementation model.
  • Theory evaluation and development were used to refine the model.
  • The model's capacity to incorporate patient-centered concepts was assessed.

Main Results:

  • The evaluation highlighted the necessity for a novel, patient-centered implementation approach.
  • The developed Evidence Informed Decision Making through Engagement Model effectively incorporates patient-centered concepts.
  • Integrating women into the implementation model is key to improving outcomes.

Conclusions:

  • A patient-centered approach is essential for effective evidence-based maternity care and potentially other clinical areas.
  • The Evidence Informed Decision Making through Engagement Model offers a framework for translating evidence into practice.
  • Fully integrating patients, particularly women, into implementation models leads to improved health outcomes important to all stakeholders.