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Shared decision making and the internist.

Victor M Montori1, Marleen Kunneman2, Ian Hargraves1

  • 1Knowledge and Evaluation Research Unit, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.

European Journal of Internal Medicine
|October 8, 2016
PubMed
Summary
This summary is machine-generated.

Shared decision making (SDM) is a key advancement in patient-centered care within internal medicine. This approach integrates patient preferences into evidence-based medical practice for better outcomes.

Keywords:
Minimally disruptive medicinePatient–clinician communicationShared decision making

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Area of Science:

  • Internal Medicine
  • Clinical Practice
  • Medical Ethics

Background:

  • The tradition of great diagnosticians in internal medicine is evolving.
  • Patient-centered care is a fundamental aspect of modern healthcare.
  • Evidence-based medicine requires integrating various clinical approaches.

Purpose of the Study:

  • To present shared decision making (SDM) as a core component of the clinical method.
  • To highlight the role of diagnosis in patient-centered care and evidence-based practice.
  • To situate SDM within the historical context of medical diagnosis.

Main Methods:

  • Narrative review of literature and clinical practice.
  • Analysis of the diagnostic process in internal medicine.
  • Conceptual framework development for SDM.

Main Results:

  • Shared decision making (SDM) represents a significant development in patient-centered care.
  • SDM is integral to the clinical method, enhancing diagnostic accuracy.
  • The diagnostic process, including situation and action, is crucial for evidence-based medicine.

Conclusions:

  • Shared decision making (SDM) is essential for effective patient-centered care.
  • Integrating SDM into the clinical method supports evidence-based practice.
  • The diagnostic skills of clinicians are vital for successful SDM.