The Patient - Patient-Centered Outcomes Research

, Volume 12, Issue 5, pp 439–443 | Cite as

Support Tools for Preference-Sensitive Decisions in Healthcare: Where Are We? Where Do We Go? How Do We Get There?

  • Jan OstermannEmail author
  • Derek S. Brown
  • Janine A. van Til
  • Nick Bansback
  • France Légaré
  • Deborah A. Marshall
  • Meenakshi Bewtra
Part of the following topical collections:
  1. From the International Academy of Health Preference Research

“Understanding and respecting patients’ values, preferences and expressed needs are the foundation of patient-centered care.” Harvey Picker [1]

In Crossing the Quality Chasm: A New Health System for the 21st Century, the Institute of Medicine described patient-centered care as “providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions” [2]. The operationalization of patient-centered care requires shared decision-making (SDM), a process in which “patients are encouraged to think about the available screening, treatment, or management options and the likely benefits and harms of each so that they can communicate their preferences and help select the best course of action for them” [3].

SDM is on the continuum between paternalistic and informed decision-making [4]. The extremes of the continuum are characterized by unilateral decisions. In paternalistic decision-making, the...


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Conflict of interest

All authors declare that they have no conflict of interest.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Health Services Policy & Management, Arnold School of Public HealthUniversity of South CarolinaColumbiaUSA
  2. 2.George Warren Brown School of Social WorkWashington University in St. LouisSt. LouisUSA
  3. 3.Faculty of Behavioural, Management and Social Sciences (BMS), Health Technology & Services Research (HTSR)University of TwenteEnschedeThe Netherlands
  4. 4.Centre for Health Evaluation and Outcome Sciences (CHÉOS), School of Population and Public HealthUniversity of British ColumbiaVancouverCanada
  5. 5.Department of Family Medicine and Emergency Medicine, Faculty of MedicineLaval UniversityQuébecCanada
  6. 6.Cumming School of MedicineUniversity of CalgaryCalgaryCanada
  7. 7.Center for Clinical Epidemiology and BiostatisticsUniversity of PennsylvaniaPhiladelphiaUSA
  8. 8.Division of GastroenterologyUniversity of PennsylvaniaPhiladelphiaUSA
  9. 9.Department of Biostatistics and EpidemiologyUniversity of PennsylvaniaPhiladelphiaUSA

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