BMJ 2001;322:664-667 ( 17 March )

Education and debate

Patient choice modules for summaries of clinical effectiveness: a proposal

Margaret Holmes-Rovner, professor ^a, Hilary Llewellyn-Thomas, professor ^b, Vikki Entwistle, senior research fellow ^c, Angela Coulter, chief executive ^d, Annette O'Connor, senior scientist ^e, David R Rovner, professor emeritus ^a. 

^a College of Human Medicine, Michigan State University, East Lansing MI 48823, USA, ^b Department of Community and Family Medicine, Dartmouth Medical School, Hanover, NH 03755, USA, ^c Health Services Research Unit, University of Abderdeen, Aberdeen AB25 2ZD, ^d Picker Institute Europe, King's Mead House, Oxpens Road, Oxford OX1 1RX, ^e Loeb Research Institute and Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario K1H 8M5, Canada

Correspondence to: M Holmes-Rovner, B213 Clinical Center, Department of Medicine, College of Human Medicine, East Lansing, MI 48824, USA mholmes@msu.edu

The first 150 words of the full text of this article appear below.

Evidence based health care has become the accepted basis of good clinical practice, and many efforts are being made to implement it. Evidence based patient choice, defined as offering patients research based information and the opportunity to influence decisions about their treatment and care, has yet to achieve the same status. We believe, however, that it is fundamental to high quality patient care.

In our ideal world difficult or controversial healthcare decisions would routinely involve health professionals deliberating with patients about the harms and benefits of all available options, as well as patients' treatment goals and risk tolerance. For key medical decisions, patients and doctors would expect to work through the evidence and decide on a course of action together. Patients who wished to delegate decision making to a doctor or surrogate decision maker would still be given the information that they wanted.

Various strategies may be needed to achieve . . . [Full text of this article]

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The best ideas are the old ones

Roger M Goss
bmj.com, 24 Mar 2001 [Full text]