Ideally, medical solutions would be straightforward. If a patient had an illness, they could go in to see a doctor, who would then have a diagnosis and an effective treatment option that aligned with the patient’s preferences and desires. In reality, it isn’t so simple, and there often isn’t a “best” option. Pioneered at Dartmouth, shared decision making involves increased communication between health care providers and their patients, in order to find solutions that best fit patients’ interests. The results seem to be overwhelming, with almost 70% of patients surveyed preferred taking part in making decisions with their doctors (The Guardian, 3/10/12). At tiltfactor, we’ve been working on our shared decision making game prototype. In our most recent game iteration I worked on coming up with potential treatments—such as surgery, topical treatments, or electing to undergo screening, and other actable qualities of a patient—working as a TV presenter, paranoid of needles, or having the responsibility of taking care of two young children.
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Shared decision making: an iterative process
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