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THE CONSENSUS ON WHAT IS NEEDED
The consensus on the problem of clinical decision making which was recently crystalised in the WIM report is also mirrored in the report’s recommendations
Following are three of the ten recommendations of the WIM report.
- The patient as the source of control. Patients should be given the necessary information and the opportunity to exercise the degree of control they choose over health care decisions that affect them. The health system should ... and encourage shared decision-making.
- Shared knowledge and the free flow of information. Patients should have unfettered access to their own medical information and to clinical knowledge. Clinicians and patients should communicate effectively and share information.
- Evidence-based decision-making. Patients should receive care based on the best available scientific knowledge. Care should not vary illogically from clinician to clinician or from place to place.
These recommendations closely map the remarks of Donald Berwick, president of the Institute for Healthcare Improvement in a June 1999 interview with "Managed Care".
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