SCIENTIFIC ARTICLE OF THE MONTH

Oct
2020

Using Nudges to Enhance Clinicians’ Implementation of Shared Decision Making With Patient Decision Aids

‘‘Nudges’’ which draw on behavioral economics and target automatic thinking processes have not been applied in the context of SDM interventions but have potential to influence clinician motivation, a primary barrier to long-term adoption of SDM tools.

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Sep
2020

“All about the money?” A qualitative interview study examining organizational- and system-level characteristics that promote or hinder shared decision-making in cancer care in the United States

Organizational and health system characteristics appear to contribute to the difficulties in implementing SDM in routine care. In this paper and based on their interviews, Scholl et al. found that one dominant theme affecting SDM implementation was the view that SDM might impair profit margins.

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Aug
2020

Qualitative evidence synthesis for complex interventions and guideline development: clarification of the purpose, designs and relevant methods

BMJ Global health published a series of papers commissioned by the WHO on the implications of complexity for systematic reviews and guideline development. Another one out of this series: https://bit.ly/2EyePrn
Those have been useful as a starting point for COMPAR-EU and we aim to also contribute to advance the methodology to synthesis evidence for complex interventions further.

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Jul
2020

The importance of interactions between patients and healthcare professionals for heart failure self-care: A systematic review of qualitative research into patient perspectives

Interactions and relationships with clinicians play a substantial role in patients´ capacity for heart failure selfcare (SC). According to Currie et al. the way professionals interact with patients strongly influences patients’ understanding about their condition and self-care behaviors.

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Jun
2020

A Cluster Randomized Trial Comparing Strategies for Translating Self-Management Support into Primary Care Practices

Self-management support is a key factor in diabetes care but has not been effectively adopted by primary care practices. The following study improves our understanding of how to advance this important practice-level behaviour.

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May
2020

The Promise of Electronic Health Records to Promote Shared Decision Making: A Narrative Review and a Look Ahead

Electronic health records (EHRs) can support shared decision making (SDM) at every stage of the process. Kuo et al. conducted a literature review revealing that few EHRs have integrated SDM. They refer to a model that suggest different ways various EHR modalities can be used at each step of SDM.

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Apr
2020

Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19)

The importance of using telehealth is especially increasing in times of COVID-19. To be effective, telehealth needs to become a routinely used part of our health system. This article highlights key requirements for this to occur. Implementing telehealth proactively rather that reactively is more likely to generate greater benefits in the long-term.

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Mar
2020

Health literacy and public health: A systematic review and integration of definitions and models

There is no consensus about the definition of health literacy or about its conceptual dimensions, which limits the possibilities for measurement and comparison. The study proposes an integrated framework capturing the most comprehensive evidence-based dimensions of health literacy.

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Feb
2020

Lifetime Medical Costs of Obesity: Prevention No Cure for Increasing Health Expenditure

Obesity prevention may be an important and cost-effective way of improving public health, but it is not a cure for increasing health expenditures. This paper estimate the annual and lifetime medical costs attributable to obesity, to compare those to similar costs attributable to smoking, and to discuss the implications for prevention.

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Jan
2020

Making Europe Health Literate by 2025 – Seven Actions to Promote Health Literacy and Self-Care in the Digital Era

Low health literacy is an important barrier for successful self-management. These policy recommendations set out to engage citizens, policymakers, healthcare professionals and other stakeholders in taking active steps to achieve the ambitious goal of making Europe health literate by 2025.

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