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Published on: February 19, 2021
Shared decision making in the United States: policy and implementation activity on multiple fronts
Dominick L Frosch1, Benjamin W Moulton, Richard M Wexler
1Department of Health Services, Palo Alto Medical Foundation Research Institute, Palo Alto, CA 94301, USA. froschd@pamfri.org
Summary
Shared decision making (SDM) is a key focus in US health policy, with new legislation and state initiatives promoting patient-centered care. Research and implementation projects are advancing SDM to improve healthcare and potentially reduce costs.
Area of Science:
- Health Policy
- Health Services Research
- Patient Engagement
Background:
- Shared decision making (SDM) is increasingly recognized as vital in US health policy discussions.
- Recent federal and state legislation highlights the importance of SDM and patient decision support in healthcare.
- Diverse organizations are actively researching and developing SDM interventions.
Purpose of the Study:
- To examine the growing role and integration of shared decision making in US healthcare policy and practice.
- To highlight the development and implementation of patient decision support interventions.
- To underscore the policy implications and potential cost-saving benefits of SDM.
Main Methods:
- Review of federal and state legislation related to shared decision making.
- Analysis of research funding and development of decision support interventions by various organizations.
- Examination of clinical implementation projects evaluating SDM integration.
- Assessment of advocacy efforts by professional organizations and social networks.
Main Results:
- SDM is a significant component of current US health reform debates and legislative actions.
- Numerous public and private entities are creating and testing SDM interventions for diverse conditions.
- Clinical implementation projects are actively evaluating the integration of SDM into routine care.
- Policy makers recognize SDM's potential to enhance healthcare quality and reduce costs.
Conclusions:
- Shared decision making is a central element in contemporary US healthcare policy and practice reform.
- The widespread development, implementation, and advocacy for SDM signal its growing importance.
- SDM holds promise for improving healthcare delivery and achieving cost efficiencies within the healthcare system.
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