The promise of shared decision making in healthcare
The number of people with chronic or long-term physical and mental illnesses has increased and will continue to do so. Many must learn to live with one or more diseases throughout their lives. Healthcare service must therefore support, to a greater extent, individuals living with illness. An important part of this transition is to improve the use of patients’ knowledge and resources to organize treatment in accordance with their own needs and values. Patient-centered healthcare can provide better patient experiences, better professional quality, and the possibility of slowing down resource consumption. Therefore, patient-centered initiatives have taken center stage in discussions on how to improve quality in healthcare service as discussed by Berry (2019) in this issue of the AMS Review. A cornerstone of patient-centered care is shared decision making, where healthcare professionals and patients work together to reach a shared healthcare choice.
KeywordsShared decision making Patient-centered healthcare Cancer care Clinical decision making Outcome measures Patient decision aids
Compliance with ethical standards
Conflict of interest
None to declare.
- Barton, J. L., Trupin, L., Schillinger, D., Evans-Young, G., Imboden, J., Montori, V. M., & Yelin, E. (2016). Use of low-literacy decision aid to enhance knowledge and reduce decisional conflict among a diverse population of adults with rheumatoid arthritis: results of a pilot study. Arthritis Care & Research (Hoboken), 68(7), 889–898.CrossRefGoogle Scholar
- Coulter, A. (2018). National strategies for implementing shared decision making. Bertelsmann Stiftung. Webreport. Available at https://www.bertelsmann-stiftung.de/en/publications/publication/did/national-strategies-for-implementing-shared-decision-making-engl/. Accessed 18 March 2019.
- Cribb, A. (2011). Involvement, shared decision-making and medicines. Royal Pharmaceutical Society of Great Britain. Webbased discussion paper. Available at https://kclpure.kcl.ac.uk/portal/files/6216779/rpsresearchreport.pdf. Accessed 18 March 2019.
- Elwyn, G., O'Connor, A. M., Bennett, C., Newcombe, R. G., Politi, M., Durand, M. A., Drake, E., Joseph-Williams, N., Khangura, S., Saarimaki, A., Sivell, S., Stiel, M., Bernstein, S. J., Col, N., Coulter, A., Eden, K., Harter, M., Rovner, M. H., Moumjid, N., Stacey, D., Thomson, R., Whelan, T., van der Weijden, T., & Edwards, A. (2009). Assessing the quality of decision support technologies using the international patient decision aid standards instrument (IPDASi). PLoS One, 4(3), e4705.CrossRefGoogle Scholar
- Joosten, E. A., DeFuentes-Merillas, L., de Weert, G. H., Sensky, T., van der Staak, C. P., & de Jong, C. A. (2008). Systematic review of the effects of shared decision-making on patient satisfaction, treatment adherence and health status. Psychotherapy and Psychosomatics, 77(4), 219–226.CrossRefGoogle Scholar
- Sepucha, K. R., Atlas, S. J., Chang, Y., Freiberg, A., Malchau, H., Mangla, M., Rubash, H., Simmons, L. H., & Cha, T. (2018). Informed, patient-centered decisions associated with better health outcomes in orthopedics: prospective cohort study. Medical Decision Making, 38(8), 1018–1026.CrossRefGoogle Scholar
- Stacey, D., Legare, F., Lewis, K., Barry, M. J., Bennett, C. L., Eden, K. B., Holmes-Rovner, M., Llewellyn-Thomas, H., Lyddiatt, A., Thomson, R., & Trevena, L. (2017). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, 4, CD001431.Google Scholar
- Wilson, S. R., Strub, P., Buist, A. S., Knowles, S. B., Lavori, P. W., Lapidus, J., & Vollmer, W. M. (2010). Shared treatment decision making improves adherence and outcomes in poorly controlled asthma. American Journal of Respiratory and Critical Care Medicine, 181(6), 566–577.CrossRefGoogle Scholar