Table 2 Examples of emerging research questions
From: Implementing shared decision-making: consider all the consequences
Proximal consequences | |
|---|---|
• | Does the preferred patient role in decision-making lead to different outcomes? |
• | What characteristics of patients, process, clinicians, settings and decisions moderate this relationship? |
• | Is there sufficient clarity about proximal outcomes and how they are measured? |
• | Do we have robust concepts as the basis for measuring decision process, decision outcomes (confidence, conflict, regret etc.), and to what degree are these mediators for distal outcomes such as treatment choice, adherence to chosen treatment, and other patient determined and patient-reported outcomes. |
• | Models could be proposed and evaluated in an effort to elucidate the mediation path from a shared decision making process to a selected set of consequences. |
Distal topics | |
• | Do people who participate in shared decision making prior to an invasive procedure experience less distress in response to treatment side effects or adverse events than those who did not participate in shared decision making? |
• | Is the distress mediated by more realistic expectations resulting from the shared decision making? |
Distant topics | |
• | How would resource use be affected by the implementation of shared decision making in different types of healthcare delivery settings? |
• | How would implementation of shared decision making prior to specific procedures affect rates of malpractice investigations concerning such procedures? |
• | How might these effects vary by type of healthcare delivery setting? |