Specifically, technologies that support patient decision-making, provider decision support, and patient-provider communication.
In clinical decision making, providers should consider not only the efficacy of second generation antidepressants and cognitive behavioral therapy interventions but also patients' preferences about potential adverse events, the costs and availability of each treatment, and expected treatment effects.
Electronic medical records (EMRs) can benefit patient care in a number of ways, including enabling timely access to patient information, supporting informed clinical decision-making, improving provider-provider and provider-patient communication and reducing health care costs [ 1- 4].
Our model derives from an extensive literature review and interviews with health care providers, representing an integration of critical race theory, social cognition theory, and the empirical literatures on clinical decision making, provider behavior, and the role of genetics and genomics in complex disease risk [ 1, 22, 25– 35].
Using previously validated scales, we measured patients' ratings of their providers' participatory decision-making, their providers' communication style, their understanding of diabetes self-care and adherence to specific self-care activities (self-management), and CAM use, attitudes, and beliefs.
It is therefore likely that other variables not captured in our study contribute to the observed differences by sex and race, such as bias in provider decision-making or provider-patient/decision-maker interaction [ 25– 27].
As part of shared treatment decision-making, healthcare providers are encouraged to discuss CHA with parents of children with ASD.
Existing data should be standardized and easily accessible to support sound decision-making by providers and patients.
Poor decision-making by providers also contributes to the low CS rate.
In the following study, we focused on the remaining physician respondents given that we were interested in exploring therapeutic decision-making by providers, as well.
