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Shared Decision-Making in Acute Pain Services.

Corina M Bello1, Simone Mackert2, Michael A Harnik3

  • 1Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, 3010, Freiburgstrasse Bern, Switzerland. corina.bello@insel.ch.

Current Pain and Headache Reports
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Summary
This summary is machine-generated.

Shared decision-making (SDM) is crucial for acute pain services (APS) but remains underdeveloped. Implementing structured tools can enhance patient-centered care and outcomes in APS.

Keywords:
Acute painPatient satisfactionPatient-centred careShared decision-making

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Area of Science:

  • Pain Management
  • Healthcare Delivery
  • Patient Engagement

Background:

  • Shared decision-making (SDM) is underutilized in acute pain services (APS) compared to other medical fields.
  • Patient-centered care is vital for optimal outcomes in acute pain management.

Purpose of the Study:

  • To review the current state of SDM in APS.
  • To explore advantages, barriers, and tools for SDM implementation in APS.
  • To identify future research directions for advancing SDM in APS.

Main Methods:

  • Overview of general SDM practices and their applicability to APS.
  • Identification and discussion of common patient decision aids (PDAs) for APS.
  • Analysis of barriers and opportunities for SDM integration in APS.

Main Results:

  • Emerging evidence supports the value of SDM in acute care settings.
  • Structured SDM tools like SHARE, MAGIC, BRAN, and MAPPIN'SDM can guide participatory decision-making in APS.
  • SDM can foster improved patient-clinician relationships beyond immediate pain relief.

Conclusions:

  • SDM implementation in APS requires further development and research.
  • Patient decision aids and addressing organizational barriers are key to advancing SDM in APS.
  • Future research should focus on the impact of PDAs, remote SDM, and patient-reported outcomes in APS.