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PUBMED FOR HANDHELDS

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  • Title: Integrating patient values into evidence-based practice: effective communication for shared decision-making.
    Author: Vranceanu AM, Cooper C, Ring D.
    Journal: Hand Clin; 2009 Feb; 25(1):83-96, vii. PubMed ID: 19232919.
    Abstract:
    Increasing data suggest that the traditional clinician-centered or disease-focused, biomedical approach to illness is less effective than a biopsychosocial, evidence-based, patient-centered approach to illness, particularly for chronic pain conditions. This article distinguishes patient-centered care from more traditional and outdated biomedical decision-making models; illustrates the complexity of illness behavior with a patient example; delves into the communication issues raised by this complexity, thereby demonstrating how best evidence can sometimes run counter to biases and intuition; provides a summary of evidence that patient-centered care positively affects outcomes; and explores how the shared decision-making approach along with cultivation of good communication skills can facilitate evidence-based practice.
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