• Patient Educ Couns · Dec 2008

    Review

    Shared decision-making--transferring research into practice: the Analytic Hierarchy Process (AHP).

    • James G Dolan.
    • University of Rochester/Unity Health System, Rochester, NY 14626, USA. jdolan787@gmail.com
    • Patient Educ Couns. 2008 Dec 1;73(3):418-25.

    ObjectiveTo illustrate how the Analytic Hierarchy Process (AHP) can be used to promote shared decision-making and enhance clinician-patient communication.MethodsTutorial review.ResultsThe AHP promotes shared decision-making by creating a framework that is used to define the decision, summarize the information available, prioritize information needs, elicit preferences and values, and foster meaningful communication among decision stakeholders.ConclusionsThe AHP and related multi-criteria methods have the potential for improving the quality of clinical decisions and overcoming current barriers to implementing shared decision-making in busy clinical settings. Further research is needed to determine the best way to implement these tools and to determine their effectiveness.Practice ImplicationsMany clinical decisions involve preference-based trade-offs between competing risks and benefits. The AHP is a well-developed method that provides a practical approach for improving patient-provider communication, clinical decision-making, and the quality of patient care in these situations.

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