Many medical conditions have multiple viable treatment options (known as preference-sensitive conditions), from taking prescription medication to having surgery. However, studies show that patients are often uninformed or uninvolved in the decision making regarding their own treatment options.1 Shared decision making encourages physicians and patients to collaborate on treatment decisions, often leading to improved patient satisfaction and a reduction in unnecessary, higher cost options.
Health Dialog's Shared Decision Making solution empowers patients to manage their care and make informed decisions on a range of conditions, such as knee and hip osteoarthritis, back pain, cardiovascular disease and more. We combine analytics, health coaching and decision aids to support patients in their decision making process and drive measurable cost savings for our clients.
Components of the Shared Decision Making solution include:
- Proprietary healthcare analytics, using our Pathways Engine to identify patients in a particular clinical risk stage, or Care Pathway, who are likely to face a preference-sensitive condition decision in the near future
- Engagement by Health Coaches trained in shared decision making principles who proactively reach out to patients to offer information and support
- Decision aids that explain treatment and care choices and help patients work with their doctors to make decisions about their healthcare—available in print and online formats
Our Shared Decision Making solution has seen the following results for cardiovascular patients:
- Longer Duration Between Pathway stages - Progression through the Cardiovascular Disease Pathway slowed by approximately 600 days for contacted individuals who eventually progress to a sentinel event (i.e., acute myocardial infarction, stroke, heart surgery)
- Less Frequent Progression of Disease State - 18% lower progression rate to the next disease state of the Cardiovascular Pathway for contacted individuals
- Avoided Sentinel Events - 2.5% of sentinel events were avoided for members contacted by the program
1. Fowler, F.J.; et al (2020). Let's Require Patients to Review a High-quality Decision Aid Before Receiving Important Tests and Treatments. Medical Care.