decide treatment - a new approach to better health
TRANSCRIPT
![Page 1: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/1.jpg)
![Page 2: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/2.jpg)
• Physician• Psychiatrist• Editor• Head of department• Researcher• Chief adviser• Software developer
![Page 3: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/3.jpg)
So many people, so many with chronic disorders
![Page 4: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/4.jpg)
Healthcare is about
health
![Page 5: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/5.jpg)
I want to be
healthy!
![Page 6: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/6.jpg)
SUBOPTIMAL HEALTH:
6 COMMON REASONS
![Page 7: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/7.jpg)
1. Does not use the best main treatment2. Does not use the optimal dosages
3. Difficult to take treatment as agreed
4. Difficult to lead a healthy lifestyle
5. Does not get enough support from others
6. Is not happy with the decision-making
![Page 8: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/8.jpg)
1.Does not use the best main treatment
2. Does not use the optimal dosages3. Difficult to take treatment as agreed
4. Difficult to lead a healthy lifestyle
5. Does not get enough support from others
6. Is not happy with the decision-making
![Page 9: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/9.jpg)
1.Does not use the best main treatment
2.Does not use the optimal dosages
3. Difficult to take treatment as agreed4. Difficult to lead a healthy lifestyle
5. Does not get enough support from others
6. Is not happy with the decision-making
![Page 10: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/10.jpg)
1.Does not use the best main treatment
2.Does not use the optimal dosages
3. Difficult to take treatment as agreed
4. Difficult to lead a healthy lifestyle5. Does not get enough support from others
6. Is not happy with the decision-making
![Page 11: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/11.jpg)
1.Does not use the best main treatment
2.Does not use the optimal dosages
3. Difficult to take treatment as agreed
4. Difficult to lead a healthy lifestyle
5. Does not get enough support from others6. Is not happy with the decision-making
![Page 12: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/12.jpg)
1.Does not use the best main treatment
2.Does not use the optimal dosages
3. Difficult to take treatment as agreed
4. Difficult to lead a healthy lifestyle
5. Does not get enough support from others6. Is not happy with the decision-making
![Page 13: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/13.jpg)
HEALTH OPTIMISATION
1. Finds the best available treatment
2. Takes the optimal dosage
3. Uses the treatment as agreed
4. Leads a very healthy lifestyle
5. Takes part in decisions
6. Receives enough support
![Page 14: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/14.jpg)
An approach from the UK calling for the use of
technology
Figure 1. Summary of the four principles of medicines optimization
![Page 15: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/15.jpg)
Increasing the effectiveness of adherence interventions may have
a far greater impacton the health of the population
than any improvement in specific medical treatments
Bryan Haynes
![Page 16: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/16.jpg)
Increasing the effectiveness of adherence interventions may have
a far greater impacton the health of the population
than any improvement in specific medical treatments
Bryan Haynes
And this is only problem #3 of the 6
![Page 17: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/17.jpg)
6 STRATEGIES FOR OPTIMAL HEALTH
![Page 18: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/18.jpg)
1. Finds the best available treatment
2. Takes the optimal dosage
3. Uses the treatment as agreed
4. Leads a very healthy lifestyle
5. Takes part in decisions6. Receives enough support
![Page 19: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/19.jpg)
![Page 20: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/20.jpg)
BACKGROUND
![Page 21: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/21.jpg)
HVA ER BEST Å GJØRE?TEKNISK STØTTE:
• Systematisk monitorering av effekter• Monitorering av annen info, som søvn og labsvar• Optimalisering av compliance• Integrert kunnskap fra mange kilder• Rangering av behandlinger ut fra forskning og reelle
effekter• Hjelp til å formidle kunnskap til henne på en forståelig
måte• Hjelp til å involvere henne i valget
Contributors:
![Page 22: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/22.jpg)
London, Sydney, Seoul, Chicago,Odessa, Dubai, Singapore
Professor Jack Dowie
![Page 23: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/23.jpg)
Frameworks:
1. Multi-criteria decision analysis
2. Single subjects research designs
3. Shared decision-making
![Page 24: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/24.jpg)
Multi-criteria decision analysisMathematics Behavioral decision theoryEconomics Computer technologySoftware engineering Information systems
![Page 25: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/25.jpg)
Multi-criteria decision analysisMathematics Behavioral decision theoryEconomics Computer technologySoftware engineering Information systems
• Includes exactly what is needed for optimal decisions
• Enables valid and consistent integration of large amounts of data
• Takes knowledge and preferences as input for calculations of treatment values for the individual
![Page 26: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/26.jpg)
Single subjects research designs
Time
Deve
lopm
ent V
aria
ble
![Page 27: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/27.jpg)
• What works for groups of people generally does not work for you!
Time
Deve
lopm
ent V
aria
ble
• Measure treatment effects and find out: Right: With treatmentMiddle: Without treatmentLeft: With treatment
• Conclusion: Less symptoms with treatment!
![Page 28: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/28.jpg)
Shared decision-making
![Page 29: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/29.jpg)
Shared decision-making1. Get the decision on the table
![Page 30: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/30.jpg)
Shared decision-making1. Get the decision on the table
2. Acknowledge that it´s not possible to find the best treatment without knowing what´s important to the patient
![Page 31: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/31.jpg)
Shared decision-making1. Get the decision on the table
2. Acknowledge that it´s not possible to find the best treatment without knowing what´s important to the patient3. Get all available options on the table
![Page 32: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/32.jpg)
Shared decision-making1. Get the decision on the table
2. Acknowledge that it´s not possible to find the best treatment without knowing what´s important to the patient3. Get all available options on the table
4. Ask what the patient wants the treatment to do for her
![Page 33: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/33.jpg)
Shared decision-making1. Get the decision on the table
2. Acknowledge that it´s not possible to find the best treatment without knowing what´s important to the patient3. Get all available options on the table
4. Ask what the patient wants the treatment to do for her5. Tell what the patient can expect from the best and worst treatment, on all outcomes
![Page 34: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/34.jpg)
Shared decision-making1. Get the decision on the table
2. Acknowledge that it´s not possible to find the best treatment without knowing what´s important to the patient3. Get all available options on the table
4. Ask what the patient wants the treatment to do for her5. Tell what the patient can expect from the best and worst treatment, on all outcomes
6. Find out which treatment fits her preferences most
![Page 35: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/35.jpg)
Shared decision-making1. Get the decision on the table
2. Acknowledge that it´s not possible to find the best treatment without knowing what´s important to the patient3. Get all available options on the table
4. Ask what the patient wants the treatment to do for her5. Tell what the patient can expect from the best and worst treatment, on all outcomes
6. Find out which treatment fits her preferences most
7. Agree on what is the best treatment
![Page 36: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/36.jpg)
Shared decision-making1. Get the decision on the table
2. Acknowledge that it´s not possible to find the best treatment without knowing what´s important to the patient3. Get all available options on the table
4. Ask what the patient wants the treatment to do for her5. Tell what the patient can expect from the best and worst treatment, on all outcomes
6. Find out which treatment fits her preferences most
7. Agree on what is the best treatment
8. Provide support and allow the patient to participate in the decision process to the extent and in the ways preferred
![Page 37: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/37.jpg)
Pilot: Bipolar disorder
![Page 38: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/38.jpg)
Pilot: Bipolar disorder
• A very complex disorder• Highly invididual course and
treatment results• Can be unpredictable• Serious consequences
very common• Fatal consequences not rare
![Page 39: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/39.jpg)
New knowledge summary methods• Fast and frugal • Patient-oriented • Decision-focused
![Page 40: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/40.jpg)
New knowledge summary methods• Fast and frugal • Patient-oriented • Decision-focused
Addresses all patient-important outcomes
![Page 41: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/41.jpg)
DECIDE TREATMENT: 18 FEATURES TAILORED TO SOLVE THE 6 PROBLEMS
![Page 42: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/42.jpg)
1. Does not use the best main treatment
![Page 43: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/43.jpg)
1. Does not use the best main treatmentLet´s integrate all available knowledge!
![Page 44: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/44.jpg)
Best research results
![Page 45: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/45.jpg)
3. Difficult to take treatment as agreed
4. Difficult to lead a healthy lifestyle
5. Does not get enough support from others
6. Is not happy with the decision-making
+ All earlier experiences
Best research results
![Page 46: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/46.jpg)
3. Difficult to take treatment as agreed
4. Difficult to lead a healthy lifestyle
5. Does not get enough support from others
6. Is not happy with the decision-making
+ All doctor´s experiences
Best research resultsAll earlier experiences
![Page 47: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/47.jpg)
Best research resultsAll earlier experiencesAll doctor´s experiences+ Removes contraindicated and irrelevant options and outcomes
![Page 48: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/48.jpg)
Best research resultsAll earlier experiencesAll doctor´s experiencesRemoves contraindicated and irrelevant options and outcomes
+ Measured treatment results
![Page 49: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/49.jpg)
Best research resultsAll earlier experiencesAll doctor´s experiencesRemoves contraindicated and irrelevant options and outcomesMeasured treatment results
= a fully populated decision matrix
![Page 50: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/50.jpg)
![Page 51: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/51.jpg)
Ranking and expected value of available treatments
![Page 52: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/52.jpg)
Ranking and expected value of available treatments
![Page 53: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/53.jpg)
Ranking and expected value of available treatmentsNo action is evidence-based in this world. All human behaviour is knowledge- and preference-based
![Page 54: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/54.jpg)
What health is to her
![Page 55: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/55.jpg)
Her personal trade-off
![Page 56: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/56.jpg)
Ranking based on trade-off + all evidence
![Page 57: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/57.jpg)
Personalised ranking, rather than the recommendations for an “average patient” in clinical guidelines
![Page 58: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/58.jpg)
Click at the bottom left to start the movie!
![Page 59: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/59.jpg)
Let´s pick one of the best!
![Page 60: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/60.jpg)
Let´s find out how they compare
![Page 61: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/61.jpg)
1. Does not use the best main treatment
2. Does not use the optimal dosages
![Page 62: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/62.jpg)
1. Does not use the best main treatment
2. Can find the best dosage
![Page 63: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/63.jpg)
1. Does not use the best main treatment
2. Can find the best dosage
![Page 64: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/64.jpg)
1. Does not use the best main treatment
2. Can find the best dosage3. Difficult to take treatment as agreed
![Page 65: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/65.jpg)
1. Does not use the best main treatment
2. Can find the best dosage3. Reminded of, signs off, look at together
![Page 66: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/66.jpg)
1. Does not use the best main treatment
2. Can find the best dosage3. Reminded of, signs off, look at together
4. Difficult to lead a healthy lifestyle
![Page 67: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/67.jpg)
1. Does not use the best main treatment
2. Can find the best dosage3. Reminded of, signs off, look at together
4. Decides on, reminded about, inspect
![Page 68: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/68.jpg)
1. Does not use the best main treatment
2. Can find the best dosage3. Reminded of, signs off, look at together
4. Decides on, reminded about, inspect
5. Does not get enough support from others
![Page 69: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/69.jpg)
1. Does not use the best main treatment
2. Can find the best dosage3. Reminded of, signs off, look at together
4. Decides on, reminded about, inspect
5. Decides on support and receives it
![Page 70: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/70.jpg)
1. Does not use the best main treatment
2. Can find the best dosage3. Reminded of, signs off, look at together
4. Decides on, reminded about, inspect
5. Decides on support and receives it
6. Is not happy with the decision-making
![Page 71: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/71.jpg)
1. Does not use the best main treatment
2. Can find the best dosage3. Reminded of, signs off, look at together
4. Decides on, reminded about, inspect
5. Decides on support and receives it
6. Decides on decision quality and measures it
![Page 72: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/72.jpg)
The patient´s treatment plan• Main treatment• Additional ones• Lifestyle measures
![Page 73: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/73.jpg)
New side effectsLife eventsTreatment changesAppointments
![Page 74: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/74.jpg)
Objective data• From the mobile• From the watch• From EMR
![Page 75: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/75.jpg)
Text, video, graphics reached with one click from the panels
![Page 76: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/76.jpg)
12 panels condensing huge amounts of data= Solid ground for shared decisions
![Page 77: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/77.jpg)
Where is shared decision-making?
![Page 78: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/78.jpg)
Where is shared decision-making?
1. Finds the best available treatment
2. Takes the optimal dosage
3. Uses the treatment as agreed
4. Leads a very healthy lifestyle
5. Takes part in decisions6. Receives enough support
here here
here
here
here
here
![Page 79: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/79.jpg)
![Page 80: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/80.jpg)
Integration in DIPS
![Page 81: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/81.jpg)
Coordinated with and reflected in government whitepapers and
initiatives
![Page 82: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/82.jpg)
Systems in the making for people with:
• Heart disease• Asthma• Stroke• Hypertension• MS• COPD• Diabetes
• Bipolar disorder• Palliative care • Lung cancer• Schizophrenia• Pregnancy• HIV• Psoriasis/eczema
![Page 83: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/83.jpg)
5 studies as per 16.11.16 5 PhDs
![Page 84: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/84.jpg)
Results:
SUS score 78
Tested with 88 potential usersNorway, UK, Ukraine
Above 68 is good
![Page 85: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/85.jpg)
I don´t want to stop using this
Patients:
I feel safer having this system
I see the big picture very fast
Doctors:
We quickly get to the main issues
Results:
![Page 86: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/86.jpg)
System modules
![Page 87: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/87.jpg)
24 interconnected modules enriching each other
![Page 88: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/88.jpg)
Modules in patient decision aids
![Page 89: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/89.jpg)
Modules in clinical practice guidelines
![Page 90: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/90.jpg)
You could be an author of a Health Helper!
![Page 91: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/91.jpg)
![Page 92: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/92.jpg)
THE ALTERNATIVE?
![Page 93: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/93.jpg)
Take this and come back in a month
![Page 94: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/94.jpg)
Take this and come back in a month
We can continue with business as usual:• No systematic measurement
of treatment effects
• Trust that our brains can process all necessary data
• No digital support outside of the encounter
![Page 95: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/95.jpg)
CONCLUSION
![Page 96: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/96.jpg)
Finding out what works for you should be as systematic as finding out what works for groups (= research)
![Page 97: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/97.jpg)
Optimisation of health for each and every one of us1. Finds the best available treatment
2. Takes the optimal dosage
3. Uses the treatment as agreed
4. Leads a very healthy lifestyle
5. Takes part in decisions6. Receives enough support
![Page 98: Decide treatment - a new approach to better health](https://reader035.vdocuments.us/reader035/viewer/2022070512/589db3b91a28ab21728b6e6b/html5/thumbnails/98.jpg)