Skip to main content
SpringerLink
Log in

Making a High-Quality Treatment Decision: Shared Decision-Making

  • Chapter
  • First Online:
Valvular Heart Disease

  • 786 Accesses

Abstract

The complexity and rapid evolution of the management of valvular heart disease merit a patient-centered approach that prioritizes patients’ preferences. Shared decision-making is an evidence-based bidirectional process that involves an individualized and intentional exchange between patients, family, and health care providers that integrates patients’ values and priorities to reach a high-quality consensus treatment decision. Shared decision-making is widely endorsed by international valvular heart disease guidelines and increasingly integrated in clinical practice. Patient decision aids are evidence-based tools that facilitate shared decision-making. Strategies to address individual issues related to communication, health inequities and access to care can help ensure a truly patient-focused management of valvular heart disease.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 84.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Coylewright M, Palmer R, O’Neil E, et al. Patient-defined goals for the treatment of severe aortic stenosis: a quantitative analysis. Health Expect. 2016;19(5):1036–43.

    Article  Google Scholar 

  2. Committee on Quality health Care in America, Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001. http://www.ncbi.nlm.nih.gov/books/NBK22857/. Accessed Jan 2021.

    Google Scholar 

  3. Joseph-Williams N, Elwyn G, Edwards A. Knowledge is not power for patients: a systematic review and thematic synthesis of patient-reported barriers and facilitators to shared decision-making. Patient Educ Couns. 2014;94(3):291–309. https://doi.org/10.1016/j.pec2013.10.031. http://www.sciencedirect.com/science/article/pii/S0738399113004722. Accessed Jan 2021.

    Article  PubMed  Google Scholar 

  4. Ubel PA, Scherr KA, Fagerlin A. Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy. Am J Bioeth. 2017;17(11):31. http://www.bioethics.net/articles/empowerment-failure-how-shortcomings-in-physician-communication-unwittingly-undermine-patient-autonomy/. Accessed Jan 2021.

    Article  Google Scholar 

  5. Alston C, Berger Z, Brownlee S, et al. Shared decision-making strategies for best care. Washington, DC: National Academy of Sciences; 2014. https://nam.edu/wpcontent/uploads/2015/06/SDMforBestCare2.pdf. Accessed Dec 2020.

    Google Scholar 

  6. Clayman M, Gulbrandsen P, Moris M. A patient in the clinic; a person in the world. Why shared decision making needs to center on the person rather than the medical encounter. Patient Educ Couns. 2017;100(3):600–4. https://doi.org/10.1016/j.pec.2016.10.016. https://ww.ncbi.nlm.nih.gov/pubmed/27780646. Accessed Dec 2020.

    Article  PubMed  Google Scholar 

  7. Yancy W. COVID-19 and African Americans. JAMA. 2020;323:1891. https://jamanetwork.com/journals/jama/fullarticle/2764789. Accessed Dec 2020.

    Article  CAS  Google Scholar 

  8. Gaasch WH. Natural history, epidemiology, and prognosis of aortic stenosis. 2017. https://www.uptodate.com/contents/natural-history-epidemiology-and-prognosis-of-aortic-stenosis. Accessed Nov 2017.

  9. Ryffel C, Lanz J, Corpataux N, et al. Mortality, stroke and hospitalizations associated with deferred versus expedited aortic valve replacement in patients referred for symptomatic severe aortic stenosis during the COVID-19 pandemic. JAMA Netw Open. 2020;3(9):e2020402. https://doi.org/10.1001/jamanetworkopen.2020.20402. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2771036?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=093020. Accessed Jan 2021.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Campo J, Tsoris A, Kruse J, et al. Prognosis of severe asymptomatic aortic stenosis with and without surgery. Ann Thorac Surg. 2019;108:74. https://www.tctmd.com/news/survival-better-early-avr-severe-asymptomatic-aortic-stenosis-says-retrospective-study. Accessed Jan 2021.

    Article  Google Scholar 

  11. Malaisrie SC, McDonald E, Kruse J, et al. Mortality while waiting for aortic valve replacement. Ann Thorac Surg. 2014;98:1564–71.

    Article  Google Scholar 

  12. Matthias MS, Salyers MP, Frankel R. Re-thinking shared decision-making: context matters. Patient Educ Couns. 2013;91(2):176–9. http://www.sciencedirect.com/science/article/pii/s0738399113000347. Accessed Dec 2017.

    Article  Google Scholar 

  13. Tulsky JA, Beach MC, Butow PN, et al. A research agenda for communication between health care professionals and patients living with serious illness. JAMA Intern Med. 2017;177(9):1361–6. https://doi.org/10.1001/jamainternmed.2017.2015.

    Article  PubMed  Google Scholar 

  14. O’Connor AM, Stacey D, Jacobsen M. Ottawa personal decision guide. Ottawa, ON: Ottawa Hospital Research Institute & University of Ottawa Canada; 2020. https://decisionaid.ohri.ca/docs/das/OPDG.pdf. Accessed Jan 2021.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Dartmouth Hitchcock Medical Center, Dartmouth, NH, USA

    Roseanne Palmer

Authors
  1. Roseanne Palmer
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Roseanne Palmer .

Editor information

Editors and Affiliations

  1. Hackensack University Medical Center, Hackensack, NJ, USA

    Marian C. Hawkey

  2. St. Paul’s Hospital, University of British Columbia, Vancouver, BC, Canada

    Sandra B. Lauck

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Palmer, R. (2022). Making a High-Quality Treatment Decision: Shared Decision-Making. In: Hawkey, M.C., Lauck, S.B. (eds) Valvular Heart Disease. Springer, Cham. https://doi.org/10.1007/978-3-030-86233-6_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-86233-6_7

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-86232-9

  • Online ISBN: 978-3-030-86233-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation