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State of the Science: Tools and Measurement for Shared Decision Making
Karen R Sepucha1, Maggie Breslin2,3, Charles Graffeo4
1Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA.
Shared decision making (SDM) ensures patients are informed and involved in treatment choices. Research is needed to apply SDM tools and measures effectively in the emergency department (ED) setting.
Area of Science:
- Health Services Research
- Patient Engagement
- Clinical Decision-Making
Background:
- Shared decision making (SDM) is crucial for aligning patient preferences with medical treatments.
- Patient decision aids are tools designed to support SDM.
- Existing research on SDM tools and measures has limited applicability in emergency departments (EDs).
Purpose of the Study:
- To review the state of the science for measuring SDM in the ED.
- To discuss the design of patient decision aids for promoting SDM in the ED.
- To identify key research areas for advancing SDM in emergency care.
Main Methods:
- Review of insights from keynote lectures at the 2016 Academic Emergency Medicine Consensus Conference.
- Discussion of the measurement of SDM and design of patient decision aids.
- Identification of research gaps and future directions.
Main Results:
- Limited knowledge exists regarding the applicability of SDM tools and measures in the ED setting.
- The current state of science for measuring SDM and designing decision aids needs further development for ED contexts.
- Specific areas for future research are highlighted to advance SDM in emergency care.
Conclusions:
- Further research is essential to adapt and validate SDM tools and measures for the unique environment of the ED.
- Developing effective patient decision aids is critical for promoting SDM in emergency care.
- Advancing SDM in the ED has the potential to improve patient-centered care during acute health events.
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