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The Position of Neuromuscular Patients in Shared Decision Making. Report from the 235th ENMC Workshop: Milan, Italy, January 19-20, 2018
Univ Ottawa, Eastern Ontario Res Inst, Childrens Hosp, Ottawa, ON, Canada.;Ottawa Hosp, Dept Med, Div Neurol, Ottawa, ON, Canada.;Univ Freiburg, Fac Med, Med Ctr, Dept Neuropediat & Muscle Disorders, Freiburg, Germany..
Fdn Telethon, Milan, Italy..
Radboud Univ Nijmegen, Dept Neurol, Med Ctr, Nijmegen, Netherlands..ORCID iD: 0000-0001-9867-9047
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Centre for Research Ethics and Bioethics.ORCID iD: 0000-0002-4053-8468
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2019 (English)In: JOURNAL OF NEUROMUSCULAR DISEASES, ISSN 2214-3599, Vol. 6, no 1, p. 161-172Article in journal (Refereed) Published
Abstract [en]

In the era of patient-centered medicine, shared decision-making (SDM) - in which healthcare professionals and patients exchange information and preferences and jointly reach a decision - has emerged as the gold standard model for the provision of formal healthcare. Indeed, in many geographical settings, patients are frequently invited to participate in choices concerning the design and delivery of their medical management. From a clinical perspective, benefits of this type of patient involvement encompass, for example, enhanced treatment satisfaction, improved medical compliance, better health outcomes, and maintained or promoted quality of life. Yet, although the theory and enactment of SDM in healthcare are well-described in the literature [1-3], comparatively less attention has been devoted to contextualizing questions relating to if, when, and how to include patients in decisions within medical research. In this context, patient involvement would be expected to be potentially relevant for and applicable to a wide range of activities and processes, from the identification of research priorities and development of grant applications, to the design of patient information and consent procedures, formulation of interventions, identification and recruitment of study sample populations, feasibility of a clinical trial, identification, selection, and specification of endpoints and outcomes in clinical trials and observational studies, data collection and analysis, and dissemination of results. To this end, 45 clinicians, healthcare professionals, researchers, patients, caregivers, and representatives from regulatory authorities and pharmaceutical companies from 15 different countries met to discuss the level of involvement of patients with neuromuscular diseases, specifically in the following settings of medical research for neuromuscular diseases: i) registries and biobanks; ii) clinical trials; and iii) regulatory processes. In this report, we present summaries of the talks that were given during the workshop, as well as discussion outcomes from the three topic areas listed above.

Place, publisher, year, edition, pages
IOS Press , 2019. Vol. 6, no 1, p. 161-172
Keywords [en]
Patient participation, biomedical research, quality of life, consensus
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:uu:diva-477233DOI: 10.3233/JND-180368ISI: 000685097900015PubMedID: 30714970OAI: oai:DiVA.org:uu-477233DiVA, id: diva2:1671402
Available from: 2022-06-17 Created: 2022-06-17 Last updated: 2022-06-17Bibliographically approved

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Hansson, Mats G.

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