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Shared decision making: examining key elements and barriers to adoption into routine clinical practice.
France Légaré1, Holly O Witteman
1Department of Family and Emergency Medicine at Université Laval, Quebec City, Quebec. France.Legare@mfa.ulaval.ca
Health Affairs (Project Hope)
|February 6, 2013
Summary
Shared decision making (SDM) empowers patients in healthcare. Achieving SDM requires physicians to be trained, practices to engage patients, and evidence-based patient preferences to be incorporated.
Area of Science:
- Health Services Research
- Patient Engagement
- Clinical Decision Making
Background:
- The clinical encounter is a key opportunity for patient engagement in health.
- Shared decision making (SDM) is promoted in the U.S. to improve patient outcomes and control costs.
Purpose of the Study:
- To describe the essential elements of shared decision making.
- To highlight needs for implementing SDM effectively.
Main Methods:
- This is an overview describing the core components of SDM.
- It outlines necessary steps for successful patient engagement in healthcare decisions.
Main Results:
- Shared decision making involves recognizing the need for a decision, understanding evidence, and integrating patient values.
- Physician training and practice reorganization are crucial for effective SDM.
Conclusions:
- Implementing shared decision making requires enhanced physician training and patient-centered practice models.
- Further research is needed to identify optimal interventions for SDM effectiveness.
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