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JACC: Advances Expert Panel Perspective: Shared Decision-Making in Multidisciplinary Team-Based Cardiovascular Care
Elizabeth M Perpetua1,2, Roseanne Palmer3, Viet T Le4
1Empath Health Services, Seattle, Washington, USA.
JACC. Advances
|August 12, 2024
Summary
Shared decision-making (SDM) in cardiology involves patients and clinicians exchanging expertise. This perspective reviews SDM in team-based cardiovascular care and offers implementation recommendations.
Area of Science:
- Cardiovascular Medicine
- Health Services Research
Background:
- Shared decision-making (SDM) and multidisciplinary team-based care are guideline-recommended in cardiology.
- Limited evidence exists for SDM benefits and implementation guidance.
- SDM is often confused with informed consent or patient decision aids.
Purpose of the Study:
- To review the current status of SDM in team-based cardiovascular care.
- To propose best practices for multidisciplinary team implementation of SDM.
Main Methods:
- Expert Panel perspective.
- Review of current state of SDM in team-based cardiovascular care.
- Development of best practice recommendations.
Main Results:
- SDM is a bidirectional exchange where patients share values/preferences and clinicians share clinical expertise.
- Current implementation of SDM in team-based cardiovascular care requires further development.
- Recommendations for multidisciplinary team implementation of SDM are proposed.
Conclusions:
- Effective implementation of SDM in team-based cardiovascular care is crucial.
- Clearer guidance and evidence are needed to support SDM adoption.
- Proposed recommendations aim to enhance SDM practices in cardiology teams.
Keywords:
atherosclerotic cardiovascular diseasecardiac imagingcardiovascular diseasechest painelectrophysiologyheart failureinterventional cardiologypreventionshared decision-makingstructural heartvalvular heart diseaseMore Related Videos
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