An emerging trend in healthcare delivery is that of patient-centered medicine which includes empowering patients through shared decision-making in their medical care. The use of information technology is a key enabler for empowering patients and supporting patient-centered care. The patient decision aid is one tool for getting patients more involved in their care. However, existing patient decision aids make generalized assumptions about their users and fail to accommodate the variability of individual information needs and decision-making preferences known in the literature. In this paper, we investigate patient attributes that influence patient decision-making preferences and present a framework for the design of individualized patient decision aids. The proposed framework is instantiated in the context of end stage renal disease and was tested to evaluate its effectiveness.

医疗保健的新兴趋势是以患者为中心的医学，其中包括通过共享医疗决策来增强患者能力。信息技术的使用是增强患者能力和支持以患者为中心的护理的关键推动力。患者决策辅助工具是使患者更多地参与其护理的一种工具。但是，现有的患者决策辅助工具会对其用户做出一般性假设，并且无法适应文献中已知的各种信息需求和决策偏好的变化。在本文中，我们调查了影响患者决策偏好的患者属性，并提出了个性化患者决策辅助工具设计的框架。