The Evaluation of Decision Support Tools Needs to e Preference Context-Sensitive

Jack Dowie*, Mette Kjer Kaltoft

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingBook chapterResearchpeer-review

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Individuals have different preferences in how they wish to relate to healthcare professionals such as doctors. Given choice, they also have preferences in relation to the type and location of support they want for their health and healthcare decisions. We argue that preference-based clusters within this heterogeneity constitute different contexts and that evaluations of decision aids should be context-sensitive in this respect. We draw attention to two distinct preference-based clusters: individuals with a preference for 'intermediative' decision support as a patient, implemented in a largely qualitative deliberative model, on the one hand, and for 'apomediative' decision support as a person, implemented in a largely quantitative multi-criteria decision analytic model, on the other. For convenience, we refer to the latter as Person Decision Support Tools (PDSTs), leaving Patient Decision Aids (PDAs) for its former, conventional use. Seeking to establish proof of method, we present an online PDST that can help individuals establish which of these two types of decision support they would find optimal. It is based on nine key attributes on which PDAs and PDSTs can be contrasted. Within population heterogeneity, preference clusters should be identified, and acknowledged and respected as contexts relevant to the evaluation of decision support tools.

Original languageEnglish
Title of host publicationContext Sensitive Health Informatics : Sustainability in Dynamic Ecosystems
EditorsRomaric Marcilly, Craig E. Kuziemsky, Christian Nøhr, Sylvia Pelayo
Number of pages6
PublisherIOS Press
Publication date1. Jan 2019
ISBN (Print)9781643680040
ISBN (Electronic)9781643680057
Publication statusPublished - 1. Jan 2019
SeriesStudies in Health Technology and Informatics


  • apomediation
  • decision quality
  • intermediation
  • Patient decision aid
  • person decision support tool
  • preferences
  • shared decision making
  • Decision Making
  • Expert Systems
  • Physicians
  • Humans
  • Decision Support Techniques
  • Patient Preference
  • Software

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