, Volume 471, Issue 5, pp 1412-1414
Date: 14 Feb 2013

Orthopaedic Healthcare Worldwide: Shared Medical Decision Making in Orthopaedics

This is an excerpt from the content

During a recent lecture on the implications of healthcare reform for the field of orthopaedic surgery, I asked a group of surgeons how many of them currently engage in shared medical decision making (SDM) with their patients. Nearly 100% of hands went up. While this is certainly an admirable goal, most physicians have a limited understanding of the principles and goals of true shared medical decision making, and many of us lack the training and expertise required to regularly incorporate patient preferences and values into our clinical decision making.

The Informed Medical Decisions Foundation (IMDF) defines SDM as “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” [4]. The IMDF goes on to explain, “SDM honors both the provider’s expert knowledge and the patient’s right to be fully informed of all care options and the potenti

Note from Editor-in-Chief: We are pleased to present to readers of Clinical Orthopaedics and Related Research ® the latest Orthopaedic Healthcare Worldwide column. This section explores the political, social, and economic issues associated with delivering musculoskeletal care in the many environments in which our specialty is practiced, both in the US and around the world. We welcome reader feedback on all of our columns and articles; please send your comments to eic@clinorthop.org.
The author certifies that he, or a member of his immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.
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The opinions expressed are those of the writers, and do not reflect the opinion or policy of CORR ® or the Association of Bone and Joint Surgeons®.