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Shared Decision Making

A Model for Clinical Practice

Dados Bibliográficos

ID23325485
AutoresGlyn Elwyn (0000-0002-0917-6286, Cochrane, autor correspondente), Dominick L Frosch (0000-0003-1680-0734, University of California, Los Angeles), Dominick Frosch, Richard Thomson (Newcastle University), Natalie Joseph-Williams, Natalie Joseph‐Williams (0000-0002-8944-2969, Cochrane), Amy Lloyd (0000-0001-9181-4488, Cochrane), Paul Kinnersley (0000-0001-5156-3370, Cochrane), Emma Cording (Cochrane), Dave Tomson, Carole Dodd (Royal Victoria Infirmary), Stephen Rollnick (Cochrane), Adrian Edwards (0000-0001-7432-2828, Cochrane), Michael J Barry (0000-0001-6508-7109, Massachusetts General Hospital), Michael Barry (0000-0002-0962-7737)
Ano2012
Volume27
Fascículo10
Páginas1361-1367
Data de publicação2012-10-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of General Internal Medicine (JOURNAL)
Identificadores do periódicoISSN: 0884-8734 • E-ISSN: 1525-1497
EditoraSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s11606-012-2077-6
PMID22618581
PMCIDPMC3445676
OpenAlexW2041927436
IdiomaEN
Citações recebidas275
Referências citadas42

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.

Alternative medicine · Business decision mapping · Clinical Practice · Conceptual model · Decision aids · Decision analysis · Decision engineering · Decision support system · Deliberation · Knowledge management · Management science · MEDLINE · Patient participation · Process (computing) · R-CAST · Artificial Intelligence · Computer Science · Empathy and Medical Education · Medicine · Nursing · Patient Satisfaction in Healthcare · Patient-Provider Communication in Healthcare

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Obras citantes distintas275
Citações por ano21,15
Intervalo de citações2013 - 2026 (14)
Velocidade de citaçãocurrent
Altamente citadoSim
Tipos de citaçãoNeutras: 241
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