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| Research article summary (published 27 Feb 2002): |
The role of patients' meta-preferences in the design and evaluation of decision support systems.
Full Abstract
The arrival of new analysis-based decision technologies will necessitate a profound rethinking both of the nature of the patient-doctor relationship and of the way aids and support systems designed to improve decision-making within that relationship are designed and evaluated. One-dimensional typologies of the traditional 'paternalist/shared/informed' sort do not provide the complexity called for by the heterogeneity of patient's 'meta-preferences' regarding their relationship with a doctor on the one hand and regarding the analytical level of judgement and decision-making on the other. A multidimensional matrix embodying this distinction is proposed as a framework of the minimal complexity required for the design and evaluation of the full range of decision aids and decision modes. Essentially aids should be conceived of and evaluated cell-specifically and the search for universally satisfactory decision support systems abandoned. 'shared' and'informed' are best interpreted as attributes which may or not be in line with a patient's meta-preferences. Future research should focus on the higher level goal of better decision-making, a goal that will need to respect and reflect these meta-preferences.
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Author information
Author/s: Dowie, Jack (J);
Affiliation: Public Health and Policy Department, London School of Hygiene and Tropical Medicine, UK. jack.dowie(-atsign-)lshtm.ac.uk
Journal and publication information
Publication Type: Evaluation Studies; Journal Article
Journal: Health expectations : an international journal of public participation in health care and health policy (Health Expect), published in England. (Language: eng)
Reference: 2002-Mar; vol 5 (issue 1) : pp 16-27
Dates: Created 2002/03/26; Completed 2002/04/18; Revised 2004/11/17;
PMID: 11915844, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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