{"id":"https://openalex.org/W2153780720","doi":null,"title":"Confronting evidence: individualised care and the case for shared decision-making.","display_name":"Confronting evidence: individualised care and the case for shared decision-making.","publication_year":2014,"publication_date":"2014-11-01","ids":{"openalex":"https://openalex.org/W2153780720","mag":"2153780720","pmid":"https://pubmed.ncbi.nlm.nih.gov/25551904"},"language":"en","primary_location":{"id":"pmid:25551904","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25551904","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Irish medical journal","raw_type":"Letter"},"volume":null,"type":"letter","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://hdl.handle.net/10147/559245","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5063922686","display_name":"Padhraig Ryan","orcid":"https://orcid.org/0000-0001-7852-5606","observed_orcids":["https://orcid.org/0000-0001-7852-5606"]},"institutions":[{"id":"https://openalex.org/I205274468","display_name":"Trinity College Dublin","ror":"https://ror.org/02tyrky19","country_code":"IE","type":"education","lineage":["https://openalex.org/I205274468"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"P Ryan","raw_affiliation_strings":["Centre for Health Policy and Mangement, Trinity College, Dublin. ryanp17@tcd.ie","Centre for Health Policy and Mangement, Trinity College, Dublin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Health Policy and Mangement, Trinity College, Dublin. ryanp17@tcd.ie","institution_ids":["https://openalex.org/I205274468"]},{"raw_affiliation_string":"Centre for Health Policy and Mangement, Trinity College, Dublin","institution_ids":["https://openalex.org/I205274468"]}]},{"author_position":"last","author":{"id":null,"display_name":"D Vaughan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"D Vaughan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":4,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"107","issue":"10","first_page":"331","last_page":"2"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/shared-decision-making","display_name":"shared decision-making","score":1.0},{"id":"https://openalex.org/keywords/individualized-care","display_name":"individualized care","score":0.8489999771118164},{"id":"https://openalex.org/keywords/patient-preferences","display_name":"patient preferences","score":0.9760000109672546},{"id":"https://openalex.org/keywords/evidence-based-medicine","display_name":"evidence-based medicine","score":0.7179999947547913},{"id":"https://openalex.org/keywords/patient-provider-partnership","display_name":"patient-provider partnership","score":0.7379999756813049},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.4580000042915344},{"id":"https://openalex.org/keywords/patient-empowerment","display_name":"patient empowerment","score":0.7110000252723694},{"id":"https://openalex.org/keywords/end-of-life-care","display_name":"end-of-life care","score":0.753000020980835},{"id":"https://openalex.org/keywords/chronic-disease-management","display_name":"chronic disease management","score":0.8199999928474426},{"id":"https://openalex.org/keywords/stable-coronary-artery-disease","display_name":"stable coronary artery disease","score":0.8069999814033508}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7796783447265625},{"id":"https://openalex.org/C27158222","wikidata":"https://www.wikidata.org/wiki/Q5532422","display_name":"Generalizability theory","level":2,"score":0.768518328666687},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5864224433898926},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.5165795087814331},{"id":"https://openalex.org/C20555606","wikidata":"https://www.wikidata.org/wiki/Q868575","display_name":"Empowerment","level":2,"score":0.47111964225769043},{"id":"https://openalex.org/C19648533","wikidata":"https://www.wikidata.org/wiki/Q691640","display_name":"Evidence-based medicine","level":3,"score":0.44025281071662903},{"id":"https://openalex.org/C2909500400","wikidata":"https://www.wikidata.org/wiki/Q7144993","display_name":"Patient Empowerment","level":3,"score":0.4134891927242279},{"id":"https://openalex.org/C2776511598","wikidata":"https://www.wikidata.org/wiki/Q7144993","display_name":"Patient participation","level":3,"score":0.41252344846725464},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.4071492552757263},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3917701542377472},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.33568018674850464},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.1670776605606079},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.15597867965698242},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D003657","descriptor_name":"Decision Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010358","descriptor_name":"Patient Participation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010817","descriptor_name":"Physician-Patient Relations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019468","descriptor_name":"Disease Management","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":6,"locations":[{"id":"pmid:25551904","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25551904","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Irish medical journal","raw_type":"Letter"},{"id":"pmh:oai:www.lenus.ie:10147/559245","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/10147/559245","pdf_url":"http://hdl.handle.net/10147/559245","source":{"id":"https://openalex.org/S4306401756","display_name":"Lenus, The Irish Health Repository (Dr Steevens Hospital Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Article"},{"id":"mag:2153780720","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25551904","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null},{"id":"mag:71715806","doi":null,"is_oa":true,"landing_page_url":"https://papers.ssrn.com/sol3/papers.cfm?abstract_id=2213448","pdf_url":null,"source":{"id":"https://openalex.org/S4210172589","display_name":"SSRN Electronic Journal","issn_l":"1556-5068","issn":["1556-5068"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1318003438","host_organization_name":"RELX Group (Netherlands)","host_organization_lineage":["https://openalex.org/I1318003438"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"SSRN Electronic Journal","raw_type":null},{"id":"pmh:oai:epubs.rcsi.ie:ilhmart-1030","doi":null,"is_oa":true,"landing_page_url":"https://epubs.rcsi.ie/cgi/viewcontent.cgi?article=1030&context=ilhmart","pdf_url":null,"source":null,"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Institute of Leadership Articles","raw_type":"text"},{"id":"pmh:oai:figshare.com:article/10781036","doi":null,"is_oa":true,"landing_page_url":"https://figshare.com/articles/Confronting_evidence_individualised_care_and_the_case_for_shared_decision-making_/10781036","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:www.lenus.ie:10147/559245","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/10147/559245","pdf_url":"http://hdl.handle.net/10147/559245","source":{"id":"https://openalex.org/S4306401756","display_name":"Lenus, The Irish Health Repository (Dr Steevens Hospital Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2153780720.pdf","grobid_xml":"https://content.openalex.org/works/W2153780720.grobid-xml"},"referenced_works_count":42,"referenced_works":["https://openalex.org/W140556216","https://openalex.org/W600532696","https://openalex.org/W1482752564","https://openalex.org/W1508077570","https://openalex.org/W1519826378","https://openalex.org/W1526500902","https://openalex.org/W1549607829","https://openalex.org/W1598451232","https://openalex.org/W1656487521","https://openalex.org/W1855636716","https://openalex.org/W1869877644","https://openalex.org/W1943745580","https://openalex.org/W1964204206","https://openalex.org/W1967833059","https://openalex.org/W1972906878","https://openalex.org/W2003697810","https://openalex.org/W2003839558","https://openalex.org/W2009478572","https://openalex.org/W2019286098","https://openalex.org/W2024641550","https://openalex.org/W2028664918","https://openalex.org/W2035130373","https://openalex.org/W2035962907","https://openalex.org/W2040535455","https://openalex.org/W2041927436","https://openalex.org/W2055434726","https://openalex.org/W2068352007","https://openalex.org/W2074280680","https://openalex.org/W2081884196","https://openalex.org/W2094448338","https://openalex.org/W2105967202","https://openalex.org/W2112534549","https://openalex.org/W2116071762","https://openalex.org/W2116156437","https://openalex.org/W2133924558","https://openalex.org/W2138056261","https://openalex.org/W2143567909","https://openalex.org/W2145047867","https://openalex.org/W2145135401","https://openalex.org/W2586396464","https://openalex.org/W2587812619","https://openalex.org/W2752099845"],"related_works":["https://openalex.org/W71715806","https://openalex.org/W2286933633","https://openalex.org/W4210603878","https://openalex.org/W3083970160","https://openalex.org/W3018875315","https://openalex.org/W2423093072","https://openalex.org/W4200498343","https://openalex.org/W7100426292","https://openalex.org/W4312116269","https://openalex.org/W2526357230"],"abstract_inverted_index":{"In":[0,50],"many":[1,67],"clinical":[2],"scenarios":[3],"there":[4,135],"exists":[5],"more":[6,88],"than":[7],"one":[8],"clinically":[9,89],"appropriate":[10,90],"intervention":[11],"strategy.":[12],"When":[13],"these":[14],"involve":[15],"subjective":[16],"trade-offs":[17],"between":[18],"potential":[19,133],"benefits":[20],"and":[21,36,76,96,141],"harms,":[22],"patients'":[23,46],"preferences":[24],"should":[25],"inform":[26],"decision-making.":[27],"Shared":[28,62],"decision-making":[29,63,144],"is":[30,64,85,129,136],"a":[31,103,137],"collaborative":[32],"process,":[33],"where":[34],"clinician":[35],"patient":[37,94],"reconcile":[38],"the":[39,132],"best":[40],"available":[41],"evidence":[42,86,126],"with":[43],"respect":[44],"for":[45,119,139],"individualized":[47],"care":[48,91],"preferences.":[49],"practice,":[51],"clinicians":[52],"may":[53],"be":[54],"poorly":[55],"equipped":[56],"to":[57,66,117,127],"participate":[58],"in":[59,80,106,109,147],"this":[60],"process.":[61],"applicable":[65],"conditions":[68],"including":[69],"stable":[70],"coronary":[71],"artery":[72],"disease,":[73],"end-of-life":[74],"care,":[75],"numerous":[77],"small":[78],"decisions":[79],"chronic":[81],"disease":[82],"management.":[83],"There":[84],"of":[87,98,111,124],"patterns,":[92],"improved":[93],"understanding":[95],"sense":[97],"empowerment.":[99],"Many":[100],"trials":[101],"reported":[102],"20%":[104],"reduction":[105],"major":[107],"surgery":[108],"favour":[110],"conservative":[112],"treatment,":[113],"although":[114],"demand":[115],"tends":[116],"increase":[118],"some":[120],"interventions.":[121],"The":[122],"generalizability":[123],"international":[125],"Ireland":[128],"unclear.":[130],"Considering":[131],"benefits,":[134],"case":[138],"implementing":[140],"evaluating":[142],"shared":[143],"pilot":[145],"projects":[146],"Ireland.":[148]},"counts_by_year":[{"year":2023,"cited_by_count":1},{"year":2020,"cited_by_count":2},{"year":2017,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
