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Shared Decision Making: A Model for Clinical Practice | Journal of General Internal Medicine
Description:
The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is shared and patients are supported to deliberate and express their preferences and views during the decision making process. To accomplish these tasks, we propose a model of how to do shared decision making that is based on choice, option and decision talk. The model has three steps: a) introducing choice, b) describing options, often by integrating the use of patient decision support, and c) helping patients explore preferences and make decisions. This model rests on supporting a process of deliberation, and on understanding that decisions should be influenced by exploring and respecting “what matters most” to patients as individuals, and that this exploration in turn depends on them developing informed preferences.
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Keywords {🔍}
decision, making, article, google, scholar, patients, shared, pubmed, decisions, sdm, health, patient, model, support, informed, clinical, elwyn, information, practice, preferences, cas, phd, care, med, process, options, deliberation, talk, edwards, medical, research, medicine, decisionmaking, clinicians, skills, choice, barry, principles, communication, tools, autonomy, work, general, access, glyn, good, option, foundation, journal, open,
Topics {✒️}
article download pdf natalie joseph-williams msc shared decision making--pinnacle implementing shared decision-making carole dodd msc shared medical decision-making stephen rollnick phd effective clinician-patient dialogue richard thomson md glyn elwyn phd informed decision-making model dominick frosch phd amy lloyd phd massachusetts general hospital health expectations [internet] health services research patient centered care patient-centered care privacy choices/manage cookies paul kinnersley md patient centered practice general practice registrars patient centred medicine michael barry patient–practitioner relationship medical decision making patient decision aids shared decision making shared decision-making translate conceptual descriptions health care policy treatment decision making physician-patient relationship person centered medicine patient decision support natalie joseph-williams good decision making optimal risk communication related subjects healthcare delivery science conditions privacy policy general practice consultations informed decision making med decis making practices decision making participatory decision making foundation develops content routine clinical practice health care organizations decision support interventions
Questions {❓}
- Communicating uncertainty can lead to less decision satisfaction: a necessary cost of involving patients in shared decision making?
- Do patients want a choice and does it work?
- Shared decision-making in the medical encounter: what does it mean?
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headline:Shared Decision Making: A Model for Clinical Practice
description:The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is shared and patients are supported to deliberate and express their preferences and views during the decision making process. To accomplish these tasks, we propose a model of how to do shared decision making that is based on choice, option and decision talk. The model has three steps: a) introducing choice, b) describing options, often by integrating the use of patient decision support, and c) helping patients explore preferences and make decisions. This model rests on supporting a process of deliberation, and on understanding that decisions should be influenced by exploring and respecting “what matters most” to patients as individuals, and that this exploration in turn depends on them developing informed preferences.
datePublished:2012-05-23T00:00:00Z
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headline:Shared Decision Making: A Model for Clinical Practice
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