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Automated production of comparison tables for shared decision making: Comparing a human-generated table (Option Grid), a search engine process, and outputs from four large language models

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Mary C. Politi, PhD @mcpoliti.bsky.social · 17d

LLMs can produce comparison tables to support #shareddecisionmaking, but need to be reviewed and checked by experts. Some of the details they produce are less accurate and less readable than those created by people. nice work @glynelwyn.bsky.social et al. www.sciencedirect.com/science/arti...

To explore the ability of artificial intelligence to produce comparison tables to facilitate shared decision-making.An expert human-generated comparis…

www.sciencedirect.com

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Mary C. Politi, PhD @mcpoliti.bsky.social · 24d

nice work by Bryan Sisk et al talking about the experience and design of patient portals for adolescents, and suggestions for communication with families now that clinical documentation is viewable to patients and caregivers. pediatrics.jmir.org/2025/1/e72134/

Advice for Improving the Experience of Web-Based Patient Portals: Qualitative Interviews With Caregiver-Adolescent Dyads

Background: Web-based patient portals can benefit adolescents and their caregivers by increasing access and providing greater understanding of one’s health information, enhancing communication with cl...

pediatrics.jmir.org

Mary C. Politi, PhD @mcpoliti.bsky.social · Sep 10

"As the newest school at WashU, the School of Public Health is built to thrive within a powerful ecosystem of interdisciplinary research and practice, forging connections across the university to amplify its impact. " Read more here: source.washu.edu/2025/09/buil...

Building momentum: School of Public Health marks milestones

The School of Public Health at Washington University in St. Louis is rapidly expanding with new people, spaces and initiatives. In August, faculty and staff gathered to begin shaping the school’s stra...

source.washu.edu

Mary C. Politi, PhD @mcpoliti.bsky.social · Sep 5

great paper by @glynelwyn.bsky.social et al about the limits of shared decision making. "the need for SDM is increasing... Nevertheless, as we outline, there are situations that limit when decisions can, or should, be shared." ebm.bmj.com/content/28/4...

The limits of shared decision making

The foundation of shared decision making (SDM) is the view that people should be aware of relevant choices, and that their personal views, priorities and preferences are relevant factors when determin...

ebm.bmj.com

Mary C. Politi, PhD @mcpoliti.bsky.social · Sep 3

"The possible lack of progress among lower-educated and uninsured individuals may foreshadow widening disparities." One strategy to improve screening includes mailed FIT test interventions...I wonder why we do not do this as often and use colonoscopy first. jamanetwork.com/journals/jam...

Trends in Colorectal Cancer Screening in US Adults Aged 45 to 49 Years

This study evaluates changes in colorectal cancer screening uptake among adults aged 45 to 49 years.

In this narrative medicine essay, a family medicine physician works through the challenge of responding to the medical advice patients bring from ChatGPT to understanding patients’ need to be heard.

Reposted by Mary C. Politi, PhD

Natalie Joseph-Williams @njosephwilliams.bsky.social · Aug 2

I'm delighted to announce our forthcoming Oxford Textbook of Shared Decision Making in Healthcare (4th Edition).

Glyn Elwyn
Adrian Edwards

Publication date - late August 2025. Pre-order available now. Further updates to follow.

📖 global.oup.com/academic/pro...

#shareddecisionmaking

The front cover of the forthcoming Oxford Textbook of Shared Decision Making in Healthcare.

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Mary C. Politi, PhD @mcpoliti.bsky.social · Aug 27

"When patients feel unheard, arming themselves with knowledge becomes a strategy to be taken seriously... If patients are arming themselves with information to be heard, our task as clinicians is to meet them with recognition, not resistance." jamanetwork.com/journals/jam...

Patients With Answers

Over One-Third of Surgical Patients Report Inadequate Shared Decision-Making: Opportunities for Improvement From the ACS NSQIP PROMs Project - PubMed

Mary C. Politi, PhD @mcpoliti.bsky.social · Aug 13

Shared Decision Making is an essential component of high-quality, patient-centered care, yet this study identified that over a third of surgical patients reported inadequate SDM, especially in rural settings. FYI @glynelwyn.bsky.social pubmed.ncbi.nlm.nih.gov/40528763/

SDM is an essential component of high-quality, patient-centered care, yet this study identified that over a third of surgical patients reported inadequate SDM. Attention paid to improving SDM is criti...

pubmed.ncbi.nlm.nih.gov

Mary C. Politi, PhD @mcpoliti.bsky.social · Aug 11

The authors found a mean monthly increase of $592 in out-of-pocket costs after a cancer diagnosis, and an annual cost increase of $4145. This increase underscores the financial burden of cancer care on patients with insurance who are not yet eligible for Medicare. jamanetwork.com/journals/jam...

Estimated Out-of-Pocket Cost for Privately Insured Patients With Common Cancers

This cohort study investigates the out-of-pocket costs associated with breast, colorectal, and lung cancer among patients younger than 65 years with private insurance.

Translational framework for implementation evaluation and research: implementation strategies derived from normalization process theory - Implementation Science

Mary C. Politi, PhD @mcpoliti.bsky.social · Jul 29

"These strategies support practical decision-making across the planning, delivery, and sustainment phases of implementation, and offer context-sensitive guidance for adapting interventions to diverse settings." #impsci implementationscience.biomedcentral.com/articles/10....

Background Implementation strategies are deliberate systematic actions used to support the uptake of innovations in health and social care. While widely used taxonomies such as ERIC and EPOC have emer...

implementationscience.biomedcentral.com

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Mary C. Politi, PhD @mcpoliti.bsky.social · Jul 28

excellent paper & case study about designing for dissemination through community engagement. "Sharing power and decision-making enhanced the capacity for local-level dissemination, which is much needed to advance the science of community partnerships." pubmed.ncbi.nlm.nih.gov/40665973/

Designing for dissemination through community advisory board engagement in an implementation mapping process: A case study - PubMed

Sharing power and decision-making enhanced the capacity for local-level dissemination, which is much needed to advance the science of community partnerships.

pubmed.ncbi.nlm.nih.gov

Combating Misinformation | SBM | Toolkit

Mary C. Politi, PhD @mcpoliti.bsky.social · Jul 16

new SBM toolkit with resources to address misinformation, including the difference between misinformation (shared unintentionally) and disinformation (deliberately spread to deceive). www.sbm.org/scicomm/comb...

www.sbm.org

Mary C. Politi, PhD @mcpoliti.bsky.social · Jul 12

Falls are a major cause of injuries among older people, with medication being a key risk factor. The SNOWDROP intervention increased shared decision-making, patients’ satisfaction w/communication, and reduced decisional conflict with no change in beliefs about meds. www.nature.com/articles/s41...

A randomized controlled trial to evaluate innovative decision support in the context of fall prevention - npj Digital Medicine

npj Digital Medicine - A randomized controlled trial to evaluate innovative decision support in the context of fall prevention

www.nature.com

Mary C. Politi, PhD @mcpoliti.bsky.social · Jul 6

Systematic review to understand users perspectives on AI-enabled decision aids to inform shared decision making. www.nature.com/articles/s41...

Systematic review to understand users perspectives on AI-enabled decision aids to inform shared decision making - npj Digital Medicine

npj Digital Medicine - Systematic review to understand users perspectives on AI-enabled decision aids to inform shared decision making

www.nature.com

Accurate is not enough: select formats for communicating probabilities to achieve specific outcomes

Mary C. Politi, PhD @mcpoliti.bsky.social · Jul 5

thoughtful work as always by @bzikmund.bsky.social and Dr. Ancker about how we choose which risk communication method/format to use (Tl;dr: it depends on our goals of risk communication): ebm.bmj.com/content/earl...

In 20 years of researching and teaching health risk communication methods, the most common question we get is: how should I communicate this [adverse event risk, survival probability, etc.] so that pa...

ebm.bmj.com

Commercial Price Variation for Common Services in General Surgery

Mary C. Politi, PhD @mcpoliti.bsky.social · Jun 26

"The findings of this cross-sectional study highlight substantial variation in commercial pricing for general surgery services, with facility prices exhibiting greater variability, especially for endoscopic procedures." jamanetwork.com/journals/jam...

This cross-sectional study uses Hospital Price Transparency and Transparency in Coverage data to examine variation in commercial insurance payment rates for common surgical services.

“Nothing Is as Great a Learning Experience as Getting a $15,000 Bill”: A Mixed-Methods Study of Young Adult Cancer Survivors' Experience With Insurance Coverage | JCO Oncology Practice

Mary C. Politi, PhD @mcpoliti.bsky.social · Jun 19

Nothing Is as Great a Learning Experience as Getting a $15,000 Bill”: A Mixed-Methods Study of Young Adult Cancer Survivors' Experience With Insurance Coverage. FYI @ashhoustenotd.bsky.social ascopubs.org/doi/abs/10.1...

PURPOSETo explore long-term young adult (YA) cancer survivors' experience with health insurance in a post–Affordable Care Act (ACA) era.METHODSThis was a mixed-methods analysis of insurance-related da...

ascopubs.org