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Shared Decision-Making and the Patient-Provider Relationship

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Handbook of Health Decision Science

Abstract

Shared decision making is a collaborative approach where clinicians and patients work together to reach an agreement regarding a preference-sensitive healthcare decision where valid treatment options are accompanied by both risks and benefits. It involves presenting the medical evidence clearly, eliciting patient preferences and values, and addressing potential outcomes to reach an agreement about a health decision. Several innovative applications of shared decision-making are discussed in this chapter. One innovative application in the field of surgery is to practice shared decision making about high-risk surgical procedures and postoperative care. This chapter discusses how shared decision-making could enhance informed consent and patient-centered care for high-risk surgical procedures that carry significant risk of need for intensive, life sustaining, postoperative care.

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Authors and Affiliations

  1. Department of Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8109, St. Louis, MO, 63110, USA

    Kathryn J. Rowland

  2. Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8100, St. Louis, MO, 63112, USA

    Mary C. Politi

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Correspondence to Mary C. Politi .

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Editors and Affiliations

  1. Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York, USA

    Michael A. Diefenbach

  2. Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA

    Suzanne Miller-Halegoua

  3. Department of Community Health Sciences, Boston University, Boston, Massachusetts, USA

    Deborah J. Bowen

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Rowland, K.J., Politi, M.C. (2016). Shared Decision-Making and the Patient-Provider Relationship. In: Diefenbach, M., Miller-Halegoua, S., Bowen, D. (eds) Handbook of Health Decision Science. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-3486-7_14

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