Dual Purpose, Dual Audience: MCDA-Based Tools Can Simultaneously Support Personal Health Decisions and Educate Persons and Clinicians

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Abstract

In this vision paper we envisage paradigmatic change transforming the health professional from the empowered agent of a dependent patient into the final decision supporter of an empowered person; a person who comes equipped with the preliminary opinion of an apomediative personalised decision support tool and the enhanced health decision literacy it produces. The anomalies in the current paradigm that will produce this change arise from unworkable attempts to combine multicriterial personal preferences and the best available evidence in a medical reasoning model. Multi-Criteria Decision Analysis (MCDA)-based decision support tools provide one mechanism for achieving this synthesis in a transparent way in a specific case whilst, simultaneously, increasing the generic health decision literacy and competencies of both person and clinician. The educational task for both is less than might be expected because of their familiarity, as consumers, with the many comparison websites and magazines for products and services using an informal version of MCDA. The educational task, particularly for the clinician, is primarily one of acknowledging that MCDA is a decision competence that has the potential, not only to enhance decision quality, but also facilitate communication between person and professional, who will now be talking the same decisional language. Experience from developing the MyBoneHealth tool confirms both the feasibility and challenges of delivering a MCDA-based decision support and educational tool.

Original languageEnglish
Title of host publicationDecision Support Systems and Education
EditorsJohn Mantas, Zdenko Sonicki, Mihaela Crişan-Vida, Kristina Fišter, Maria Hägglund, Aikaterini Kolokathi, Mira Hercigonja-Szekeres
Volume255
PublisherIOS Press
Publication date2018
Pages257-261
ISBN (Print)9781614999201
ISBN (Electronic)9781614999218
DOIs
Publication statusPublished - 2018
EventEFMI STC 2018 - Hotel Dubrovnik, Zagreb, Croatia
Duration: 14. Oct 201816. Oct 2018

Conference

ConferenceEFMI STC 2018
LocationHotel Dubrovnik
CountryCroatia
CityZagreb
Period14/10/201816/10/2018
SeriesStudies in Health Technology and Informatics
Volume255
ISSN0926-9630

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Decision Support Techniques
Health
Mental Competency
Language
Communication

Keywords

  • decision support
  • health decision literacy
  • Multi-Criteria Decision Analysis
  • preferences

Cite this

Kaltoft, M. K., Nielsen, J. B., & Dowie, J. (2018). Dual Purpose, Dual Audience: MCDA-Based Tools Can Simultaneously Support Personal Health Decisions and Educate Persons and Clinicians. In J. Mantas, Z. Sonicki, M. Crişan-Vida, K. Fišter, M. Hägglund, A. Kolokathi, & M. Hercigonja-Szekeres (Eds.), Decision Support Systems and Education (Vol. 255, pp. 257-261). IOS Press. Studies in Health Technology and Informatics, Vol.. 255 https://doi.org/10.3233/978-1-61499-921-8-257
Kaltoft, Mette Kjer ; Nielsen, Jesper Bo ; Dowie, Jack. / Dual Purpose, Dual Audience : MCDA-Based Tools Can Simultaneously Support Personal Health Decisions and Educate Persons and Clinicians. Decision Support Systems and Education. editor / John Mantas ; Zdenko Sonicki ; Mihaela Crişan-Vida ; Kristina Fišter ; Maria Hägglund ; Aikaterini Kolokathi ; Mira Hercigonja-Szekeres. Vol. 255 IOS Press, 2018. pp. 257-261 (Studies in Health Technology and Informatics, Vol. 255).
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Kaltoft, MK, Nielsen, JB & Dowie, J 2018, Dual Purpose, Dual Audience: MCDA-Based Tools Can Simultaneously Support Personal Health Decisions and Educate Persons and Clinicians. in J Mantas, Z Sonicki, M Crişan-Vida, K Fišter, M Hägglund, A Kolokathi & M Hercigonja-Szekeres (eds), Decision Support Systems and Education. vol. 255, IOS Press, Studies in Health Technology and Informatics, vol. 255, pp. 257-261, EFMI STC 2018, Zagreb, Croatia, 14/10/2018. https://doi.org/10.3233/978-1-61499-921-8-257

Dual Purpose, Dual Audience : MCDA-Based Tools Can Simultaneously Support Personal Health Decisions and Educate Persons and Clinicians. / Kaltoft, Mette Kjer; Nielsen, Jesper Bo; Dowie, Jack.

Decision Support Systems and Education. ed. / John Mantas; Zdenko Sonicki; Mihaela Crişan-Vida; Kristina Fišter; Maria Hägglund; Aikaterini Kolokathi; Mira Hercigonja-Szekeres. Vol. 255 IOS Press, 2018. p. 257-261 (Studies in Health Technology and Informatics, Vol. 255).

Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearchpeer-review

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Kaltoft MK, Nielsen JB, Dowie J. Dual Purpose, Dual Audience: MCDA-Based Tools Can Simultaneously Support Personal Health Decisions and Educate Persons and Clinicians. In Mantas J, Sonicki Z, Crişan-Vida M, Fišter K, Hägglund M, Kolokathi A, Hercigonja-Szekeres M, editors, Decision Support Systems and Education. Vol. 255. IOS Press. 2018. p. 257-261. (Studies in Health Technology and Informatics, Vol. 255). https://doi.org/10.3233/978-1-61499-921-8-257