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Related Concept Videos

Decision Making01:20

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Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
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Updated: Apr 6, 2026

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
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Shared decision making: Concepts, evidence, and practice.

A M Stiggelbout1, A H Pieterse1, J C J M De Haes2

  • 1Department of Medical Decision Making/Quality of Care, Leiden University Medical Center, Leiden, The Netherlands.

Patient Education and Counseling
|July 29, 2015
PubMed
Summary

Shared decision-making (SDM) is crucial for preference-sensitive choices. Implementing SDM requires professionals and patients to understand its steps and utilize effective communication strategies for better healthcare outcomes.

Keywords:
DeliberationMedical ethicsPatient preferencesPhysician-patient communicationShared decision making

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Area of Science:

  • Medical Ethics
  • Health Services Research
  • Patient Communication

Background:

  • Shared decision-making (SDM) is the recommended model for preference-sensitive decisions.
  • The concept of SDM has roots in both medical ethics and health services research.

Purpose of the Study:

  • To outline the history and steps of SDM.
  • To present evidence on SDM's occurrence in practice.
  • To offer communication strategies for clinicians to support SDM.

Main Methods:

  • Historical overview of SDM.
  • Analysis of evidence regarding the implementation of SDM steps in clinical practice.
  • Development of communication strategies for healthcare professionals.

Main Results:

  • SDM involves four key steps: informing patients about decisions, explaining options, discussing preferences, and joint decision-making.
  • These SDM steps are currently implemented to a limited extent in daily practice.

Conclusions:

  • Widespread implementation of SDM requires enhanced knowledge and awareness among professionals and patients.
  • Training in tools and skills is essential for effective SDM.
  • Clinicians can leverage defined steps and communication strategies to improve SDM.