Format

Send to

Choose Destination
Health Policy. 2018 Jul;122(7):703-706. doi: 10.1016/j.healthpol.2018.04.010. Epub 2018 Apr 27.

A proposal for the development of national certification standards for patient decision aids in the US.

Author information

1
The Dartmouth Institute for Health Policy and Clinical Practice, Level 5, Williamson Translational Research Building, 1 Medical Center Drive, Lebanon, NH, 03756, USA. Electronic address: Glyn.Jones-Elwyn@Dartmouth.edu.
2
Council of Medical Speciality Societies, 35 E. Wacker Dr. Suite 850, Chicago, IL 60601-2106, USA. Electronic address: hburstin@cmss.org.
3
Division of General Internal Medicine, Massachusetts General Hospital, 50 Staniford Street, 9th Floor, Boston, MA, 02114, USA. Electronic address: mbarry@mgh.harvard.edu.
4
National Partnership for Women & Families, Washington DC, USA. Electronic address: mcorry@nationalpartnership.org.
5
The Dartmouth Institute for Health Policy and Clinical Practice, Level 5, Williamson Translational Research Building, 1 Medical Center Drive, Lebanon, NH, 03756, USA. Electronic address: Marie-Anne.Durand@dartmouth.edu.
6
Washington State Health Care Authority, PO Box 45502, Olympia, WA, 98504-5502, USA. Electronic address: daniel.lessler@hca.wa.gov.
7
Department of Urology, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, Box 951738, Los Angeles, CA 90095-1738, USA. Electronic address: Csaigal@mednet.ucla.edu.

Abstract

Efforts to implement the use of patient decision aids to stimulate shared decision making are gaining prominence. Patient decision aids have been designed to help patients participate in making specific choices among health care options. Because these tools clearly influence decisions, poor quality, inaccurate or unbalanced presentations or misleading tools are a risk to patients. As payer interest in these tools increases, so does the risk that patients are harmed by the use of tools that are described as patient decision aids yet fail to meet established standards. To address this problem, the National Quality Forum (NQF) in the USA convened a multi-stakeholder expert panel in 2016 to propose national standards for a patient decision aid certification process. In 2017, NQF established an Action Team to foster shared decision making, and to call for a national certification process as one recommendation among others to stimulate improvement. A persistent barrier to the setup of a national patient decision aids certification process is the lack of a sustainable financial model to support the work.

KEYWORDS:

Certification process; Development and implementation; National standards; Patient decision aids; Patient engagement; Shared decision making

PMID:
29728288
DOI:
10.1016/j.healthpol.2018.04.010
[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center