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Related Concept Videos

Decision Making01:20

Decision Making

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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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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Envisioning Shared Decision Making: A Reflection for the Next Decade.

Jennifer L Barton1, Marleen Kunneman2, Ian Hargraves3

  • 1Oregon Health & Science University, Portland, Oregon.

MDM Policy & Practice
|February 21, 2022
PubMed
Summary
This summary is machine-generated.

Shared decision making (SDM) is crucial for patient care but rarely practiced. Future visions highlight the need for implementation research to integrate SDM effectively, benefiting all patients, especially the vulnerable.

Keywords:
decision aidsimplementationpatient-centered careshared decision making

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Area of Science:

  • Healthcare research
  • Clinical practice improvement
  • Patient-centered care

Background:

  • Shared decision making (SDM) is evidence-based yet underutilized in routine healthcare.
  • A critical review of current SDM practice and future envisioning was conducted by an international research group.
  • The process involved writing letters to the future (2028) to critically assess SDM's progress.

Discussion:

  • Generated dystopian visions of SDM's future prompted deep questions about its nature, beneficiaries, and measurement.
  • Contrasting dystopian scenarios with an ideal future informed a new research agenda for SDM.
  • Key areas for SDM advancement include decision-making processes, humanistic communication, and decision-outcome fit-to-care.

Key Insights:

  • SDM's value lies in advancing patients' humanistic situations through better decision-making processes.
  • Effective SDM requires humanistic communication and ensuring decisions fit individual patient needs ('fit-to-care').
  • Addressing the gap between envisioned and routine SDM necessitates a focus on implementation research.

Outlook:

  • A significant investment in implementation research is essential for widespread SDM adoption.
  • Ensuring SDM reaches vulnerable populations requires targeted strategies and research.
  • This work aims to stimulate discussion and contribute to a future where SDM is standard practice.