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Updated: Apr 13, 2026
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
18.1K
Summary
Shared decision-making in healthcare faces implementation challenges. A new model prioritizes patient goals to translate them into treatment options, showing feasibility and comfort for patients and physicians.
Area of Science:
- Clinical practice
- Healthcare delivery
- Patient-centered care
Background:
- Shared decision-making (SDM) is the standard of care in clinical practice.
- Numerous obstacles hinder SDM implementation, including patient, physician, and systemic factors.
- Current SDM models are seldom successfully implemented, questioning their practicality.
Purpose of the Study:
- To propose a re-engineered model for shared decision-making.
- To address the practical challenges in implementing SDM in clinical practice.
Main Methods:
- Physicians elicit and prioritize patients' goals of care.
- Physicians translate patient goals into treatment options.
- Physicians clarify the patient's underlying health status.
Main Results:
- Preliminary evidence indicates the feasibility of each step in the revised process.
- Patients and physicians report comfort with the proposed strategy.
- The re-engineered model shows potential for successful SDM implementation.
Conclusions:
- The proposed model offers a practical approach to achieving shared decision-making.
- Further testing and adoption of this model could realize the goal of SDM in clinical practice.
- This revised strategy enhances patient-provider collaboration in treatment planning.
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