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Implementing and evaluating shared decision making in oncology practice
Heather L Kane1, Michael T Halpern, Linda B Squiers
1Health Services Analyst, Primary Prevention Research and Evaluation Program, RTI International, Research Triangle Park, North Carolina.
Shared decision making (SDM) enhances patient engagement in cancer care, leading to greater confidence and trust. Implementing SDM requires understanding its components and strategies for effective facilitation in oncology practice.
Area of Science:
- Oncology
- Health Services Research
- Patient-Centered Care
Background:
- Shared decision making (SDM) is crucial for patient-centered cancer care.
- Implementing SDM in oncology is complex due to treatment uncertainties and the need to explain risks and benefits.
- Patient engagement in decision-making improves treatment satisfaction and provider trust.
Purpose of the Study:
- To review factors influencing SDM in cancer care.
- To explore outcomes of successful SDM.
- To outline strategies for implementing SDM in oncology.
Main Methods:
- Literature review of recent information on SDM in cancer care.
- Development of a conceptual model for SDM in oncology.
- Formulation of recommendations for facilitating SDM.
Main Results:
- Identified patient and physician factors affecting SDM.
- Summarized positive outcomes associated with engaged patients.
- Presented strategies and a model for SDM implementation.
Conclusions:
- Effective SDM in cancer care requires understanding patient and physician roles.
- Implementing SDM strategies can improve patient outcomes and satisfaction.
- Further research and practical tools are needed to support SDM in oncology.
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