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Instruments for evaluating shared medical decision making: a structured literature review.
1Johns Hopkins Bloomberg School of Public Health and School of Medicine, MD, USA.
Medical Care Research and Review : MCRR
|September 7, 2007
Summary
This review identifies instruments for shared medical decision making, organizing them by patient values, communication, and other factors. The findings highlight the diversity of assessment tools and gaps in current research.
Area of Science:
- Health Services Research
- Patient-Centered Care
- Medical Communication
Background:
- Shared medical decision making (SMDM) is crucial for patient-centered care.
- Evaluating the quality of SMDM requires validated instruments.
- A comprehensive overview of existing instruments is needed.
Purpose of the Study:
- To systematically review and categorize instruments used to evaluate shared medical decision making.
- To identify gaps and areas of strength in the current assessment tools for SMDM.
Main Methods:
- A structured literature review was performed.
- Instruments were included if generalizable and formally evaluated.
- Tools were organized into domains: values/preferences, information/communication, and other aspects.
Main Results:
- 11 instruments were identified for values/preferences, focusing on roles and information.
- 3 observational instruments and 3 questionnaires were found for information/communication.
- 3 instruments for decision self-efficacy and 4 multidimensional instruments were identified.
Conclusions:
- The diversity of instruments reflects the complexity of assessing SMDM.
- Instrument development is clustered in certain areas, indicating literature gaps.
- Further research is needed to address identified gaps in SMDM assessment.
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