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dc.creatorSiminoff, LA
dc.date.accessioned2021-01-31T18:14:20Z
dc.date.available2021-01-31T18:14:20Z
dc.date.issued2013-12-06
dc.identifier.issn1472-6947
dc.identifier.issn1472-6947
dc.identifier.doihttp://dx.doi.org/10.34944/dspace/5334
dc.identifier.other24565268 (pubmed)
dc.identifier.urihttp://hdl.handle.net/20.500.12613/5352
dc.description.abstractBackground: Clinicians are encouraged to practice evidence-based medicine (EBM) as well as patient-centered medicine. At times, these paradigms seem to be mutually exclusive and difficult to reconcile. It can become even more challenging when trying to include the preferences of the patient's family members. This paper discusses the basis for this quandary, providing examples of the real-world impact it has on diagnosis-seeking and treatment decision-making behaviors and how it might inform implementation of EBM practices. Analysis. To further explore the role of friends and family in health-care decision making and to understand how patients and families introduce other considerations that may or may not be congruent with a strictly EBM approach, data from two research studies that examined healthcare-seeking behaviors are presented. Both studies explore how family and friends not only can influence health-care decisions but also may be a source of conflict for the patient and/or clinician. Conclusions: Illness is a biological and social process. Clinicians who engage in EBM need to acknowledge the social and cultural factors that affect the health-care encounter, understand the important role of those factors in health-care decision making, and expand the paradigm of EBM to incorporate sociocultural influences more explicitly. Moreover, recognition of the influences family members and other caregivers have within the clinical encounter - by offering opinions and participating in treatment-related decision making - is needed and could lead to more efficient and effective health care. © 2013 Siminoff; licensee BioMed Central Ltd.
dc.format.extentS6-
dc.language.isoen
dc.relation.haspartBMC Medical Informatics and Decision Making
dc.relation.isreferencedbySpringer Science and Business Media LLC
dc.rightsCC BY
dc.rights.urihttp://creativecommons.org/licenses/by/2.0
dc.subjectEvidence-Based Medicine
dc.subjectFamily
dc.subjectHumans
dc.subjectPatient Preference
dc.subjectPatient-Centered Care
dc.titleIncorporating patient and family preferences into evidence-based medicine
dc.typeArticle
dc.type.genreJournal Article
dc.relation.doi10.1186/1472-6947-13-S3-S6
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.creator.orcidSiminoff, Laura|0000-0002-6775-665X
dc.date.updated2021-01-31T18:14:17Z
refterms.dateFOA2021-01-31T18:14:20Z


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