.A Proposal for a Medicare Study
- Introductory book on developing a collaborative model between patients and physicians, called, “Everybody Needs A Hippo”, showing patients how to really take control over their medical decisions.
- “Your Dag Chart”: the tool which helps patients identify which activities and interests define what is of value in their lives.The chart then leads the way for medical providers to provide clear, responsive language that describes how the proposed treatments (prescriptions or procedures) they are recommending may affect their patients, allowing for patients to be able to make clear and decisive decisions for their medical future based on knowledge, instead of hope and fear.
- Collaborate with medical university to design a study for Medicare that shows how Supporting Champions’ tools help to integrate shared decision making into routine office visits.
- Collaborate with university theater arts department, theatrical/literary agencies, and/or multi-development production houses (i.e. IDEO) to produce and coordinate release of film, book, chart and Supporting Champions’ supporting products.
Current Research Analyses:
- Research shows that patients can make decisions about multiple treatment options better when the benefit information is broken up into separate yes/no decisions.
- “The easier we make it for them [patients] to understand, the more likely they will use it [medical information] and the less time the doctor has to spend explaining it.” .--source: data and formats adapted from B.J.Zikmund-Fisher et al., Breast Cancer Research and Treatment
- Patients often override their basic fears and intuitions and follow their doctor’s advice, many times resulting in post-procedural trauma.For example, in a study completed by Dr. Fagerlin, published last August in the journal, “Medical Decision Making”, 457 men participated from four Veterans Affairs Medical Centers, showed that the majority make their decisions from the advice of their urologists.This advice was based on strictly medical statistics of age and test results with little to no consideration to the personal activities or health of the patients.“A patient may tell his doctor, ‘I just got remarried, I’m 65 and the most important thing to me is to keep my potency’, but then they chose the treatment with the highest likelihood of impotency, because it is what the doctor recommended,” says Dr. Fagerlin.
- A 2014 review in the journal, “Cochrane Reviews”, found that decision aids improve patient’s understanding of their options; makes them feel more informed and clear about what is important to them; and helps them participate more in their own medical decision making.The results show that the aids reduce amount of elective surgeries, and have had no adverse effects on health outcomes or satisfaction.
- In a ten-year study at Massachusetts General Hospital in Boston, ending in 2015, Dr. Leigh Simmons, co-author of the study, says, “Decision aids ensures that patients have all the information they need to make decisions.We want to be operating on people who want surgery, not those who don’t know enough or aren’t ready.”
- In a recent New York Times article, “Informed Patient-Don’t bet on it!”, By MIKKAEL A. SEKERES, M.D. and TIMOTHY D. GILLIGAN, M.D. .MARCH 1, 2017, the doctors clearly state that the medical world and the public are conditioned not to communicate effectively with each other. “There’s a sort of collusion that takes place, and we’re all complicit. Over your lifetime of seeing us, we have trained you that we will look impatient and concerned if you say you didn’t understand something or if you have a lot of questions. After all, we’re busy and have other patients to see.”
Their honesty in their appraisal of medical communication is a healthy beginning, they continue: “A fundamental challenge with this process is that it is often unrealistic to think that you actually could be fully informed of what you’re about to undergo. How can we explain to you the experience of having your chest cracked open, or what it feels like when you go through chemotherapy? Neither of us has undergone heart surgery, or treatment for cancer, and we don’t kid ourselves that any depiction of the experience we provide will be enough.” The doctors speak for many providers across the land and it shows that a new approach to communication, one which is humanistic, grounded, and relative in the most personal ways, to the patient, is required.
Proposed Study: Utilizing Supporting Champions medical aids:
To evaluate the benefits of allowing patients to understand their treatment options and the potential results of those options in relation to their life-style activities.
We expect to show that the patients will:
- *Feel seen and heard
*Be less inclined to instigate litigation
*Make less demand for hospital admissions
*Make less demand for elective surgeries
*Make more non-invasive medical decisions
We expect to show that providers will:
- *Save time
- *Have better communications
- *Be seen and heard
- *See greater compliance with treatment regimens
- *Experience less burn out!