ABSTRACT
Using patient-reported outcomes at the point of service helps a provider identify what matters most to the patient in front of his/her now. Describing treatment options and deciphering a patient’s preferences effectively is a process, one that has been likened to the process of arriving at a medical diagnosis, which is accomplished by evaluating a patient’s primary complaints, history, exam findings, and test results. Working through a preference diagnosis is similar but also involves providers working with their patients to identify what matters most to them, discussing the risks and benefits of the available treatment options, and supporting the patient as needed through the decision-making process. Chapter 6 presents more details of this process and scenarios that highlight how the 3-Talk Model of shared decision-making works in real situations at the point of care and how the model can be successfully implemented in shared decision-making. Examples of these three kinds of talks, the methodology behind them, and sample dialogues are provided.
