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Shared Decision Making in Healthcare

Shared Decision Making (SDM) involves providers supporting patients in deliberation using evidence on treatment options to build preferences aligned with patient values. SDM is marked by informing, sharing, and eliciting patient values, contrasting with traditional paternalism models. SDM facilitates increased patient involvement, satisfaction, and reduced decisional conflict. SDM ensures accountability and transparency in medicine by holding patients and providers responsible for decisions and providing accurate information to patients.

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Nirajan Sharma
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137 views2 pages

Shared Decision Making in Healthcare

Shared Decision Making (SDM) involves providers supporting patients in deliberation using evidence on treatment options to build preferences aligned with patient values. SDM is marked by informing, sharing, and eliciting patient values, contrasting with traditional paternalism models. SDM facilitates increased patient involvement, satisfaction, and reduced decisional conflict. SDM ensures accountability and transparency in medicine by holding patients and providers responsible for decisions and providing accurate information to patients.

Uploaded by

Nirajan Sharma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Shared Decision Making (SDM)

Definitions of Shared Decision Making (SDM):


SDM involves providers supporting patients in deliberation using the best-available evidence
on potential treatment options to build informed preferences aligned with patient values.
Early concepts focused on helping physicians assist patients in making informed decisions
concordant with patient values.
Origins of Shared Decision Making:

Ancient philosophers like Hippocrates and Plato recognized the relationship between nature
and the individual in medicine.
Medical education historically focused on pathology over patient experience, leading to a
disconnect between patients as people and patients as objects of disease.
Medical sociology expanded thinking about the influence of culture and patient experiences
on healthcare.
Importance of Shared Decision Making:
SDM is marked by informing, sharing, and eliciting patient values, contrasting with
traditional models of care like paternalism.
SDM is considered ethically necessary and a logical progression for ensuring informed
consent.
Decision support interventions and aids facilitate SDM, leading to increased patient
involvement, satisfaction, and reduced decisional conflict.
Expectations of Shared Decision Making:
Patient Expectations: Active involvement, access to information, and respect for values and
preferences.
Provider Expectations: Embracing SDM, effective communication, and improved patient
satisfaction and adherence.
Policymaker Expectations: Integration into clinical practice, transparency, and patient
engagement.
Researcher Expectations: Evaluating effectiveness, identifying barriers, and generating
evidence for continuous improvement.

Contributions of Shared Decision Making (SDM) to Health Technology


Assessment (HTA):
1. Accountability and Transparency:
SDM ensures accountability by holding patients and providers responsible for decisions.
Transparency in medicine is enhanced through SDM, ensuring accurate information is
provided to patients.
2. Decision-Making in Limited Clinical Encounters:
SDM assists in decision-making when patients face multiple treatment options within limited
clinical encounters.
Patients assess trade-offs between harms and benefits of treatments, supported by SDM and
evidence from HTA.

3. Bridging the Gap in HTA Findings:


While HTA informs providers and policymakers, it often lacks patient input.
SDM integrates patient perspectives, ensuring their concerns are addressed in HTA processes.
4. Reframing Routine Clinical Practice:
SDM promotes patient engagement, reshaping the traditional model of passive patient roles.
It facilitates assessment of new ideas and technologies within clinical settings, aligning with
HTA principles.
5. Enhancing Patient-Friendly Technologies:
Patient-friendly technologies such as EMRs and portals improve transparency and access to
healthcare data.
SDM advocates for technology that empowers patients and enhances communication with
providers.
6. Facilitating Evaluation of Innovations:
SDM provides a framework for evaluating technology innovations by involving patients and
clinicians.
It improves clinical conversations and outcomes by ensuring technology meets patient needs
and preferences.

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