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Updated: May 22, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Shared decision making: a model for clinical practice.

Glyn Elwyn1, Dominick Frosch, Richard Thomson

  • 1Cochrane Institute of Primary Care and Public Health, Neuadd Meirionydd, Cardiff University, Heath Park, Cardiff, UK, CF14 4XN. glynelwyn@gmail.com

Journal of General Internal Medicine
|May 24, 2012
PubMed
Summary
This summary is machine-generated.

This study introduces a practical three-step model for shared decision making in clinical practice. It guides healthcare professionals in supporting patients to explore preferences and make informed health decisions.

Related Experiment Videos

Last Updated: May 22, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

  • Health Services Research
  • Clinical Practice Guidelines
  • Patient-Centered Care

Background:

  • Shared decision making (SDM) principles are established, yet practical implementation guidance is lacking.
  • Routine clinical practice requires actionable strategies to integrate SDM effectively.
  • Bridging the gap between SDM theory and practice is crucial for patient engagement.

Purpose of the Study:

  • To translate existing conceptual descriptions of SDM into a practical, memorable three-step model.
  • To provide a guide for skill development in implementing SDM in clinical settings.
  • To enhance the process of information sharing and patient preference exploration during clinical encounters.

Main Methods:

  • Development of a three-step model for shared decision making: Choice, Option, Decision (COD) talk.
  • Focus on building therapeutic relationships to facilitate information exchange.
  • Integration of patient decision support tools to aid in describing options.

Main Results:

  • The proposed model simplifies SDM into three actionable steps: introducing choice, describing options, and helping patients explore preferences.
  • The model emphasizes the importance of deliberation and respecting individual patient values ('what matters most').
  • Successful implementation relies on patients developing informed preferences through exploration.

Conclusions:

  • The COD talk model offers a practical framework for achieving shared decision making in routine clinical practice.
  • This model supports skill development for clinicians aiming to enhance patient involvement in healthcare decisions.
  • Respecting patient preferences and values is central to effective and ethical shared decision making.