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[Evidence-based Risk and Benefit Communication for Shared Decision Making].

Takeo Nakayama1

  • 1Department of Health Informatics, School of Public Health and Graduate School of Medicine, Kyoto University.

Yakugaku Zasshi : Journal of the Pharmaceutical Society of Japan
|March 6, 2018
PubMed
Summary

Evidence-based medicine (EBM) integrates research with clinical expertise and patient values. Shared decision making (SDM) enhances this by fostering patient-clinician communication for better healthcare choices.

Keywords:
clinical practice guidelinecommunicationevidence-based medicineshared decision making

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Area of Science:

  • Medical Informatics
  • Clinical Decision Making
  • Patient-Centered Care

Background:

  • Evidence-based medicine (EBM) synthesizes research, clinical expertise, and patient values.
  • Clinical decisions remain challenging due to uncertainties, even with strong evidence.

Purpose of the Study:

  • To explore the role of shared decision making (SDM) in clinical practice.
  • To highlight the importance of patient-clinician consensus in healthcare.

Main Methods:

  • SDM involves interactive communication where patients and clinicians share information.
  • Clinicians provide evidence-based treatment options, risks, and benefits.
  • Patients share personal values, preferences, and social context.

Main Results:

  • SDM facilitates mutual understanding of goals and responsibilities.
  • This process supports autonomous decision-making in complex situations.
  • Joint development of EBM and SDM improves patient-clinician relationships.

Conclusions:

  • Shared decision making (SDM) is crucial for navigating clinical uncertainties.
  • Integrating SDM with evidence-based medicine (EBM) enhances healthcare quality.
  • Fostering patient-clinician collaboration leads to better health outcomes.