Unlocking Patient Preferences: The Potential of Stated-Preference Methods in Clinical Decision Making.
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2025-09
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Stated-preference (SP) methods are gaining attention as tools to support patient-centered clinical decision making by quantifying individual preferences through structured tradeoffs. These methods may improve shared decision making by helping patients and clinicians better understand the relative importance of treatment attributes and the trade-offs patients are willing to make. However, integrating SP methods into clinical settings poses practical challenges, including concerns about complexity, patient burden, and relevance of hypothetical scenarios. Successful application will require thoughtful design, attention to accessibility, and collaboration across disciplines. Despite current limitations, SP methods hold promise for enhancing the quality and alignment of medical decisions with patient values.
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Ozdemir, Semra, Jorien Veldwijk, Janine van Til, Ilene L Hollin, Deborah A Marshall and Shelby D Reed (2025). Unlocking Patient Preferences: The Potential of Stated-Preference Methods in Clinical Decision Making. Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research. p. S1098-3015(25)02532-X. 10.1016/j.jval.2025.08.016 Retrieved from https://hdl.handle.net/10161/33882.
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Scholars@Duke
Semra Ozdemir
Dr. Ozdemir is an Associate Professor in the Department of Population Health Sciences at Duke University and is affiliated with Duke Clinical Research Institute. She also holds a joint appointment at the Signature Programme in Health Services and Systems Research at Duke-NUS Medical School in Singapore. Dr. Ozdemir’s research focuses on three areas of medical decision making: 1) assessing individuals’ preferences and values for healthcare services and products, 2) understanding the medical decision-making process among patients, their family caregivers, and clinicians, and 3) developing decision aids or tools to help individuals make better-informed medical decisions. She uses survey methods, cohort studies, and implementation science principles to conduct research in these areas.
Dr. Ozdemir is an expert in shared decision-making tools and stated-preference methods, such as discrete choice experiments and best-worst scaling. Dr. Ozdemir led a large team of health communication and decision science experts and clinicians in the development of an educational and preference-based decision aid for older patients with end-stage kidney disease who are considering dialysis or kidney supportive care. She is an Associate Editor for Value in Health and has served on the editorial boards for Medical Decision Making and Applied Health Economics and Health Policy. She is also the co-chair of the Shared Decision Making Special Interest Group for the Society for Medical Decision Making.
Dr. Ozdemir loves running, paddling, traveling, and cheering for her sons in their soccer games and bike races.
Areas of expertise: Medical decision making, shared decision making, health preference assessment, stated-preference methods, discrete choice experiment, decision aid research.
Shelby Derene Reed
Shelby D. Reed, PhD, is Professor in the Departments of Population Health Sciences and Medicine at Duke University’s School of Medicine. She is the director of the Center for Informing Health Decisions and Therapeutic Area leader for Population Health Sciences at the Duke Clinical Research Institute (DCRI). She also is core faculty at the Duke-Margolis Center for Health Policy. Dr. Reed has over 20 years of experience leading multidisciplinary health outcomes research studies. Dr. Reed has extensive expertise in designing and conducting trial-based and model-based cost-effectiveness analyses of diagnostics, drugs and patient-centered interventions. In 2016, she co-founded the Preference Evaluation Research (PrefER) Group at the DCRI, and she currently serves as its director. She and the group are frequently sought to conduct stated-preference studies to inform regulatory decisions, health policy, care delivery, value assessment and clinical decision making with applied projects spanning a wide range of therapeutic areas. She served as President for ISPOR in 2017-2018, and she currently is Past-Chair of the Society’s Health Science Policy Council.
Areas of expertise: Health Economics, Health Measurement, Stated Preference Research, Health Policy, and Health Services Research
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