Right Care for Patients. The National Shared Decision Making Programme. One thing I have always found is that you have got to start with the customer experience and work backwards to the technology. Steve Jobs 1955-2011. I wanted to ask questions but did not feel fit to do so at the time.
The National Shared Decision Making Programme
One thing I have always found is that you have got to start with the customer experience and work backwards to the technology.
Steve Jobs 1955-2011
Being treated as a person.
Treat the person, not the condition!
No choice on treatments, even though I asked for the options!
Need to know what to ask for. Get education.
More patient education for the GPs
Information is at the core of decision making - up to date information, new treatments and patient mentoring.
I wanted to know more about the kidneys not just the condition. Cannot make decisions unless I'm informed.
Source: NHS inpatient surveys
Whole Group High-Comorbidity
Murtagh et al. NDT 2007
- Older patients can successfully be dialysed using PD;
- Patients on PD perceived significantly less illness and treatment intrusion;
- After regression analysis, patients on PD and HD reported similar quality of life.
-Patients want to be involved with
- The unit with the lowest use of PD
had the lowest patient involvement
in decision making.
UK Renal Registry 13th Annual Report
Shared decision-making is a process which involves patients:
‘The Government’s ambition is to achieve healthcare outcomes that are among the best in the world.’
‘This can only be achieved by involving patients in their own care, with decisions made in partnership with clinicians, rather than by clinicians alone.’
‘We want the principle of ‘shared decision-making’ to become the norm: no decision about me without me.’
The benefits are:
RR=0.76 (0.6, 0.9)
O’Connor et al., Cochrane Library, 2009
Management is doing things right; leadership is doing the right thingsPeter F Drucker