Dartmouth Institute Assistant Professor Rachel Thompson heads the Institute’s Right For Me research study, which aims to improve conversations about birth control and support people to make decisions that are right for them.Learn More →
In 2014 Kyla Donnelly Pearce, a master's degree student at The Dartmouth Institute for Health Policy and Clinical Practice and a Research Assistant at the Preference Laboratory, embarked on a study of how practicing gentle yoga regularly might help patients with brain injuries cope. In a study of the program, which the British medical journal Brain Injury published in December, Pearce and her team concluded that "yoga interventions have the potential to benefit multiple aspects of ABI survivors' quality of life and contribute to rehabilitation goals, including a positive sense of self, psychological well-being, and community integration."
Donnelly, K. Z., Linnea, K., Grant, D. A., & Lichtenstein, J. (2016). The feasibility and impact of a yoga pilot programme on the quality-of-life of adults with acquired brain injury. Brain Injury, 1–7. http://doi.org/10.1080/02699052.2016.1225988Learn More →
New Policies for Shared Decision Making. And Informed Consent?
New policies to incentivize shared decision making have the potential to change care for patients with common, preference sensitive conditions. Yet, there are challenges for implementation, including lack of clinician buy-in and measurement limitations, with the risk that shared decision making could become a checkbox item. This talk will review new policies for shared decision making, discuss the challenges to successful implementation, and consider broader health system changes in informed consent and patient engagement that may help pave the way for true shared decision making.
Erica Spatz, MD, MHS
Assistant Professor, Cardiologist
Clinical Investigator at the Center for Outcomes Research
and Evaluation (CORE) at Yale School of Medicine.
e3 is shorthand for an email listserv dedicated to patient engagement - an area of research and development that is among the core areas of interest for The Dartmouth Institute for Health Policy & Clinical Practice.
Please email us if you want to join the e3 listserv.
Members will use this listserv to share news, papers, research opportunities relevant to e3.
Membership is open to anyone who wants to be part of this community of practice.
By Glyn Elwyn, Marie-Anne Durand, and Peter Scalia.
Commissioned by the National Quality Forum, Washington, D.C.Learn More →
The redesigned optiongrid.org offers several new features, including account-free access to the decision aid library and expanded interactive versions.Learn More →
What if shared decision making happened all the time?
Perhaps we have been drinking too much Kool-Aid, but we let ourselves imagine a future where patients and clinicians collaborated effectively about health decisions and used the best possible evidence to think carefully about the harms as well as the benefits of interventions. We argued that collaborative deliberation would lead, in the first place, to better-informed patients who would make preference-based decisions. This would lead to safer, cost-effective, patient-aligned healthcare. This, in turn, would lead to improvements in utilization rates, better resource use, and improved health outcomes. (See the figure below.) These are of course hypotheses - now we need to find ways to test them.--Glyn Elwyn
As currently designed, guidelines may well stand in the way of you getting the care that is right for you. By Glyn ElwynLearn More →
Stuart Grande, Manish Mishra, Nan Cochran, and Robin Paradis Montibello of The Preference Laboratory recently presented two workshops on Shared Decision Making, in partnership with the New Hampshire Comprehensive Cancer Collaboration.Learn More →
Manish Mishra and Glyn Elwyn traveled to Chicago recently as part of their work on the University of California/Berkeley & Dartmouth PCORI ACTIVATE study (The Comparative Impact of Patient Activation and Engagement on Improving Patient-Centered Outcomes of Care in Accountable Care Organizations). In the photograph from left to right are: Manish Mishra, Patricia Ramsay, Stephen Shortell, Hector Rodriguez, Kathryn McDonald, and Glyn Elwyn.
Social media is changing the practice of medicine. By Stuart W Grande, MPA and Annemijn Aarts, MD, PHDLearn More →