K W M Bill Fulford1. 1. St Cross College, University of Oxford, and Emeritus Professor of Philosophy and Mental Health, University of Warwick, Coventry, UK. kwm.fulford@philosophy.ox.ac.uk
Abstract
RATIONALE: Person-centred medicine depends on combining best research evidence with the unique values (including the preferences, concerns, needs and wishes) of individual patients and their families. AIMS AND OBJECTIVES: The paper gives a brief introduction to values-based practice as a new approach to incorporating patients' values into clinical decision making alongside best research evidence as derived from evidence-based practice. METHOD: The role of values-based practice as a partner to evidence-based practice is illustrated through a series of policy, training and service development initiatives in mental health from the UK Department of Health in London. RESULTS: These initiatives have supported person-centred developments in key areas of mental health practice including, (1) the use of involuntary treatment; and (2) a shared approach of assessment. Early moves are underway to extend values-based practice to other areas of health care beyond mental health. CONCLUSION: Values-based practice offers a new approach to incorporating patients' unique values into clinical decision making that is complementary to evidence-based practice as a resource for person-centred medicine.
RATIONALE: Person-centred medicine depends on combining best research evidence with the unique values (including the preferences, concerns, needs and wishes) of individual patients and their families. AIMS AND OBJECTIVES: The paper gives a brief introduction to values-based practice as a new approach to incorporating patients' values into clinical decision making alongside best research evidence as derived from evidence-based practice. METHOD: The role of values-based practice as a partner to evidence-based practice is illustrated through a series of policy, training and service development initiatives in mental health from the UK Department of Health in London. RESULTS: These initiatives have supported person-centred developments in key areas of mental health practice including, (1) the use of involuntary treatment; and (2) a shared approach of assessment. Early moves are underway to extend values-based practice to other areas of health care beyond mental health. CONCLUSION: Values-based practice offers a new approach to incorporating patients' unique values into clinical decision making that is complementary to evidence-based practice as a resource for person-centred medicine.
Authors: Karen K W Wang; Cathy Charles; Nancy M Heddle; Emmy Arnold; Laura Molnar; Donald M Arnold Journal: Health Expect Date: 2012-08-07 Impact factor: 3.377
Authors: Rosalind Fallaize; Anna L Macready; Laurie T Butler; Judi A Ellis; Aleksandra Berezowska; Arnout R H Fischer; Marianne C Walsh; Caroline Gallagher; Barbara J Stewart-Knox; Sharon Kuznesof; Lynn J Frewer; Mike J Gibney; Julie A Lovegrove Journal: Br J Nutr Date: 2015-03-27 Impact factor: 3.718