Letting patients decide—A novel distribution strategy in primary care, Massachusetts General Hospital
Primary care providers at Massachusetts General Hospital (MGH) have been able to prescribe patient decision aids (PDAs) through the electronic medical record since 2005. However, several providers recognized that they did not always remember to order programs and were interested in new ways to get the tools to patients. This prompted a care redesign project with one primary care practice that engaged patients in self-ordering of decision aids. Over the course of six months, approximately 7% of patients ordered programs, and the most popular programs dealt with mental health issues. In contrast, during the same period providers ordered programs for about 3% of visits, with the most popular program being testing for prostate cancer. The results higlighted the need to elicit and address patients’ issues during annual visits, which can often get dominated by medical providers’ agenda.
Oxford Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.
If you think you should have access to this title, please contact your librarian.