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MEDICATION ADHERENCE AMONG ADULT ASTHMATICS: INVESTIGATING THE ROLE FOR SHARED DECISION MAKING
The prevailing model of the clinical encounter is shifting from paternalism – wherein physicians play an authoritative role in the clinical encounter - to a more patient centered care (PCC) model, where patients are encouraged to play an active role in the decision making process. The implementation of PCC and the promotion of active engagement of patients in their healthcare decisions is called shared decision making (SDM). SDM requires the active engagement of patients at each point of their healthcare decision making process.
Despite growing and high quality evidence that SDM is an effective tool for improving both patient-reported and clinical outcomes in “preference sensitive” clinical contexts, such as chronic disease management, clinical uptake of SDM has been sparse.
This presentation will describe the objectives, methods and results of doctoral work that sought to determine the current state of SDM within the context of asthma care. Specifically, the investigation addressed the following three main research questions:
1. What elements of SDM are currently being used in clinical care for adult asthmatics?
2. What are the characteristics of patients who wish to be actively involved in their care?
3. Do modifiable aspects of the clinical encounter predict variation in adherence to controller therapy?