Knowledge Gaps about Hypertension, Hypercholesterolemia and Coronary Artery Disease: Results from a National Survey of Medical Decisions (DECISIONS) JB Wong, MP Couper, CA Levin, J Van Hoewyk, BJ Zikmund-Fisher Tufts Medical Center, University of Michigan, Foundation for Informed Medical Decision Making, VA Ann Arbor Healthcare System 5 th International Shared Decision Making Boston, MA USA
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Age, Racial and Gender Knowledge Gaps about Hypertension,
Hypercholesterolemia and Coronary Artery Disease: Results from a
National Survey of Medical Decisions (DECISIONS)
JB Wong, MP Couper, CA Levin, J Van Hoewyk, BJ Zikmund-Fisher
Tufts Medical Center, University of Michigan, Foundation for Informed Medical Decision Making, VA Ann Arbor Healthcare System
5th International Shared Decision Making
Boston, MA USA
16 June 2009
Background
• Crossing the Quality Chasm: shared knowledge and the free flow of information
• Quality decision-making requires transfer of disease-specific knowledge
• Knowledge gaps– PCI: 75% prevent future MI & 71% prolong life
• No nationally representative sample has described knowledge in patients who made 1° or 2° heart disease treatment decisions
Holmbroe JGIM 2000; Inst of Medicine; Crossing the Quality Chasm 2001; Sepucha Health Aff 2004
Aim
• To assess knowledge in patients with hypertension, hypercholesterolemia or coronary heart disease