Shared Decision-Making and Patient Empowerment in Preventive Cardiology

Overview

Journal Curr Cardiol Rep

Publisher Current Science

Specialty Cardiology & Vascular Diseases

Date 2016 Apr 22

PMID 27098670

Citations 44

Authors

Swetha Kambhampati Thiruvengadam

Tamara Ashvetiya

Neil J Stone

Roger S Blumenthal

Seth S Martin

Affiliations

Soon will be listed here.

Abstract

Shared decision-making, central to evidence-based medicine and good patient care, begins and ends with the patient. It is the process by which a clinician and a patient jointly make a health decision after discussing options, potential benefits and harms, and considering the patient's values and preferences. Patient empowerment is crucial to shared decision-making and occurs when a patient accepts responsibility for his or her health. They can then learn to solve their own problems with information and support from professionals. Patient empowerment begins with the provider acknowledging that patients are ultimately in control of their care and aims to increase a patient's capacity to think critically and make autonomous, informed decisions about their health. This article explores the various components of shared decision-making in scenarios such as hypertension and hyperlipidemia, heart failure, and diabetes. It explores barriers and the potential for improving medication adherence, disease awareness, and self-management of chronic disease.

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References

Irizarry T, DeVito Dabbs A, Curran C . Patient Portals and Patient Engagement: A State of the Science Review. J Med Internet Res. 2015; 17(6):e148. PMC: 4526960. DOI: 10.2196/jmir.4255. View

Ross S, Lin C . The effects of promoting patient access to medical records: a review. J Am Med Inform Assoc. 2003; 10(2):129-38. PMC: 150366. DOI: 10.1197/jamia.m1147. View

James P, Oparil S, Carter B, Cushman W, Dennison-Himmelfarb C, Handler J . 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2013; 311(5):507-20. DOI: 10.1001/jama.2013.284427. View

Katz D, Intwala S, Stone N . Addressing statin adverse effects in the clinic: the 5 Ms. J Cardiovasc Pharmacol Ther. 2014; 19(6):533-42. DOI: 10.1177/1074248414529622. View

Shearer N, Cisar N, Greenberg E . A telephone-delivered empowerment intervention with patients diagnosed with heart failure. Heart Lung. 2007; 36(3):159-69. DOI: 10.1016/j.hrtlng.2006.08.006. View

Krumholz H, Amatruda J, Smith G, Mattera J, Roumanis S, Radford M . Randomized trial of an education and support intervention to prevent readmission of patients with heart failure. J Am Coll Cardiol. 2002; 39(1):83-9. DOI: 10.1016/s0735-1097(01)01699-0. View

Annema C, Luttik M, Jaarsma T . Reasons for readmission in heart failure: Perspectives of patients, caregivers, cardiologists, and heart failure nurses. Heart Lung. 2009; 38(5):427-34. DOI: 10.1016/j.hrtlng.2008.12.002. View

Varming A, Hansen U, Andresdottir G, Husted G, Willaing I . Empowerment, motivation, and medical adherence (EMMA): the feasibility of a program for patient-centered consultations to support medication adherence and blood glucose control in adults with type 2 diabetes. Patient Prefer Adherence. 2015; 9:1243-53. PMC: 4562751. DOI: 10.2147/PPA.S85528. View

Anderson R, Funnell M . Patient empowerment: myths and misconceptions. Patient Educ Couns. 2009; 79(3):277-82. PMC: 2879465. DOI: 10.1016/j.pec.2009.07.025. View

10.

Hamine S, Gerth-Guyette E, Faulx D, Green B, Ginsburg A . Impact of mHealth chronic disease management on treatment adherence and patient outcomes: a systematic review. J Med Internet Res. 2015; 17(2):e52. PMC: 4376208. DOI: 10.2196/jmir.3951. View

11.

Bodenheimer T, Lorig K, Holman H, Grumbach K . Patient self-management of chronic disease in primary care. JAMA. 2002; 288(19):2469-75. DOI: 10.1001/jama.288.19.2469. View

12.

Goldzweig C, Orshansky G, Paige N, Towfigh A, Haggstrom D, Miake-Lye I . Electronic patient portals: evidence on health outcomes, satisfaction, efficiency, and attitudes: a systematic review. Ann Intern Med. 2013; 159(10):677-87. DOI: 10.7326/0003-4819-159-10-201311190-00006. View

13.

Kruse C, Bolton K, Freriks G . The effect of patient portals on quality outcomes and its implications to meaningful use: a systematic review. J Med Internet Res. 2015; 17(2):e44. PMC: 4342639. DOI: 10.2196/jmir.3171. View

14.

Kruse C, Argueta D, Lopez L, Nair A . Patient and provider attitudes toward the use of patient portals for the management of chronic disease: a systematic review. J Med Internet Res. 2015; 17(2):e40. PMC: 4376181. DOI: 10.2196/jmir.3703. View

15.

van Steenkiste B, van der Weijden T, Timmermans D, Vaes J, Stoffers J, Grol R . Patients' ideas, fears and expectations of their coronary risk: barriers for primary prevention. Patient Educ Couns. 2004; 55(2):301-7. DOI: 10.1016/j.pec.2003.11.005. View

16.

Fowles J, Terry P, Xi M, Hibbard J, Bloom C, Harvey L . Measuring self-management of patients' and employees' health: further validation of the Patient Activation Measure (PAM) based on its relation to employee characteristics. Patient Educ Couns. 2009; 77(1):116-22. DOI: 10.1016/j.pec.2009.02.018. View

17.

McAllister M, Dunn G, Payne K, Davies L, Todd C . Patient empowerment: the need to consider it as a measurable patient-reported outcome for chronic conditions. BMC Health Serv Res. 2012; 12:157. PMC: 3457855. DOI: 10.1186/1472-6963-12-157. View

18.

Montori V, Brito J, Murad M . The optimal practice of evidence-based medicine: incorporating patient preferences in practice guidelines. JAMA. 2013; 310(23):2503-4. DOI: 10.1001/jama.2013.281422. View

19.

Wright Jr J, Fine L, Lackland D, Ogedegbe G, Himmelfarb C . Evidence supporting a systolic blood pressure goal of less than 150 mm Hg in patients aged 60 years or older: the minority view. Ann Intern Med. 2014; 160(7):499-503. DOI: 10.7326/M13-2981. View

20.

Evangelista L, Lee J, Moore A, Motie M, Ghasemzadeh H, Sarrafzadeh M . Examining the effects of remote monitoring systems on activation, self-care, and quality of life in older patients with chronic heart failure. J Cardiovasc Nurs. 2013; 30(1):51-7. PMC: 4447139. DOI: 10.1097/JCN.0000000000000110. View