Shared decision making

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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 "share" and "decision", indicating a process where decisions are made collectively. The concept has been in use in the medical field since the late 20th century.

Definition

Shared decision making involves a collaborative process where healthcare professionals and patients work together to select tests, treatments, management or support packages, based on clinical evidence and the patient’s informed preferences. It involves the provision of evidence-based information about options, outcomes and uncertainties, together with decision support counseling and a system for recording and implementing patients’ informed preferences.

Process

The process of shared decision making involves several steps:

  1. The healthcare provider explains all the viable treatment options and the benefits and risks associated with each.
  2. The patient shares their personal values and what is important to them regarding their health and quality of life.
  3. The healthcare provider and patient discuss the options and the patient's preferences.
  4. Together, they make a decision and agree on a treatment plan.

Related Terms

Benefits

Shared decision making can lead to a number of benefits, including improved patient satisfaction, better health outcomes, and reduced healthcare costs. It is a key component of patient-centered care and is increasingly being recognized as a standard of care in many healthcare systems around the world.

Challenges

Despite its benefits, there are several challenges to implementing shared decision making in healthcare settings. These include time constraints, lack of training and support for healthcare providers, and difficulties in accessing high-quality, up-to-date information about treatment options and outcomes.

See Also

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