Shared decision-making
Shared decision-making (pronunciation: shârd dih-ˈsi-zhən-ˈmā-kiŋ) is a collaborative process that allows patients and their providers to make health care decisions together, taking into account the best scientific evidence available, as well as the patient's values and preferences.
Etymology
The term "shared decision-making" is derived from the English words "shared", meaning jointly used, experienced, or done by two or more individuals, and "decision-making", which refers to the process of making choices by identifying a decision, gathering information, and assessing alternative resolutions.
Concept
Shared decision-making involves the active participation of patients in their health care. It is a key component of patient-centered care, and is recommended when evidence supports more than one reasonable approach, such as for preference-sensitive care. The process involves the health care provider sharing the best available evidence when faced with the task of making a decision, the patient sharing his or her values and preferences, and then both parties discussing these issues and agreeing on a course of action.
Process
The process of shared decision-making involves several steps:
- The health care provider explains the patient's health status and the options for diagnosis, treatment, and prognosis.
- The patient's values and preferences are elicited and discussed.
- The health care provider and patient discuss the risks and benefits of the options.
- A decision is made, and the health care provider and patient agree on the decision.
- The decision is implemented.
Benefits
Shared decision-making has several benefits. It respects patient autonomy, improves patient knowledge, reduces decisional conflict, and may lead to improved health outcomes.
Related Terms
See Also
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