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Updated: Jan 13, 2026

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Shared Decision Making or Sharing Information?

David W Chambers1

  • 1University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, California, USA.

Journal of Evaluation in Clinical Practice
|January 9, 2026
PubMed
Summary
This summary is machine-generated.

Shared decision making, a collaborative approach between patients and healthcare professionals, leads to more stable and satisfactory treatment choices. This method also results in fewer ethically questionable outcomes compared to individual decision-making.

Keywords:
negotiationoptimizationpatient satisfactionrank‐order choiceshared decision making

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Area of Science:

  • Decision Sciences
  • Health Informatics
  • Medical Ethics

Background:

  • Patient and healthcare professional decisions can conflict even with identical information.
  • Individual decision-making models do not always align patient and provider perspectives.

Purpose of the Study:

  • Introduce mutual two-person decision-making as an alternative to individual approaches.
  • Define and operationalize shared decision-making (SDM) using decision theory.

Main Methods:

  • Developed an operational definition for shared decision-making.
  • Utilized two-person decision theory to model decision processes.
  • Employed computer simulations to analyze decision satisfaction patterns.

Main Results:

  • Shared decision-making (SDM) produces more mutually stable and satisfactory treatment decisions.
  • SDM outcomes are associated with fewer morally questionable results.
  • Simulations demonstrated the superiority of SDM under common information conditions.

Conclusions:

  • Shared decisions, incorporating shared information, are superior to independent patient or professional choices.
  • SDM enhances the quality and ethical standing of treatment decisions.
  • This framework offers a robust model for collaborative healthcare choices.