Journal of General Internal Medicine

, Volume 29, Issue 1, pp 219–222 | Cite as

Physicians as Part of the Solution? Community-Based Participatory Research as a Way to Get Shared Decision Making into Practice

  • Stuart W. Grande
  • Marie-Anne Durand
  • Elliott S. Fisher
  • Glyn ElwynEmail author


Although support among policy makers and academics for the wide scale adoption of shared decision making (SDM) is growing, actual implementation is slow, and faces many challenges. Extensive systemic barriers exist that prevent physicians from being able to champion SDM and lead practice change. In other areas of public health where implementation has been a challenge, community-based participatory research (CBPR) has effectively engaged resistant stakeholders to improve practice and the delivery of care. Might CBPR, defined broadly as research that engages participants in the conception, design, and implementation of relevant health programs, be a more effective way to engage physicians, patients, and managers in the implementation process? Consequently, we argue that adopting a participatory approach may help to overcome recognized barriers to progress in this area.


shared decision making community-based participatory research implementation patient engagement clinical practice 


Conflict of Interest

The authors declare no conflict of interest.


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Copyright information

© Society of General Internal Medicine 2013

Authors and Affiliations

  • Stuart W. Grande
    • 1
  • Marie-Anne Durand
    • 2
  • Elliott S. Fisher
    • 3
  • Glyn Elwyn
    • 1
    • 3
    • 4
    Email author
  1. 1.The Dartmouth Center for Health Care Delivery ScienceDartmouth CollegeHanoverUSA
  2. 2.Department of PsychologyUniversity of HertfordshireHatfieldUK
  3. 3.The Dartmouth Institute for Health Policy and Clinical PracticeThe Geisel School of Medicine at Dartmouth CollegeLebanonUSA
  4. 4.The Cochrane Institute for Primary Care and Public HealthCardiff UniversityCardiffUK

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