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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Twelve myths about shared decision making.

France Légaré1, Philippe Thompson-Leduc2

  • 1Research Centre of the CHU of Québec, St-François d'Assise Hospital, Québec, Canada; Department of Family Medicine and Emergency Medicine, Laval University, Québec, Canada.

Patient Education and Counseling
|July 19, 2014
PubMed
Summary
This summary is machine-generated.

Many perceived barriers to shared decision making (SDM) are myths. Evidence suggests these common concerns do not hinder scaling up SDM across healthcare.

Keywords:
CommunicationDecision aidsImplementationShared decision making

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Area of Science:

  • Healthcare policy
  • Clinical decision-making

Background:

  • Shared decision making (SDM) is gaining traction in healthcare policy.
  • Increased attention necessitates a closer examination of perceived obstacles to its widespread adoption.

Purpose of the Study:

  • To identify and debunk prevalent myths surrounding shared decision making.
  • To critically evaluate commonly cited barriers to scaling up SDM.

Main Methods:

  • A selective literature review was conducted.
  • Investigated commonly perceived barriers to scaling up shared decision making over a 20-year period.

Main Results:

  • Twelve common beliefs about barriers to scaling up shared decision making were examined.
  • Little evidence was found to support these perceived barriers; evidence to the contrary was identified.

Conclusions:

  • The majority of commonly perceived barriers to scaling up shared decision making are myths, disproven by available evidence.
  • The ongoing discussion regarding shared decision making should not impede its implementation by policymakers and clinicians.