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Could Behavioral Economics Mitigate Shortcomings in Shared Decision-Making?
Strict shared decision-making (SDM) can harm patients. Supplementing SDM with libertarian paternalism strategies like default settings and nudging improves patient care and outcomes.
Area of Science:
- Clinical Practice
- Bioethics
- Behavioral Economics
Background:
- Shared decision-making (SDM) is a standard clinical practice.
- Strict adherence to SDM may lead to adverse outcomes in specific situations.
Purpose of the Study:
- To examine how strict shared decision-making (SDM) can yield suboptimal outcomes.
- To explore how libertarian paternalism strategies can enhance SDM.
Main Methods:
- Analysis of two case studies: antibiotic over-prescription and end-of-life decision-making.
- Application of libertarian paternalism principles (default setting, framing, nudging) to SDM.
Main Results:
- Strict SDM in the examined cases resulted in adverse outcomes.
- Libertarian paternalism strategies can effectively supplement SDM.
Conclusions:
- Integrating libertarian paternalism with SDM can improve patient care.
- Optimized SDM benefits both individual patients and society.
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