Interventions for improving the adoption of shared decision making by healthcare professionals

Abstract

This review is published as a Cochrane Review in the Cochrane Database of Systematic Reviews 2014, Issue 9. Cochrane Reviews are regularly updated as new evidence emerges and in response to comments and criticisms, and the Cochrane Database of Systematic Reviews should be consulted for the most recent version of the Review.

Quaternary prevention, an answer of family doctors to overmedicalization

“…The difficult choice is to explain the doubt of the mammogram and the danger of irradiation. It is also difficult to explain the uncertainty of the results of a scan by using the time consuming shared decisionmaking process (41) to persuade the patient not go to further examinations. "Not to do" is not as easy as accepting "to do" (42,43).…”

Sharing decision-making between patient and clinician: the next step in evidence-based practice for patellofemoral pain?

“…Légaré et al 5 recently outlined three elements that underpin the rationale behind policymakers’ embracing SDM. In summary, policymakers believe shared decision-making:

Is a fundamental right of patients.

…”

“…Does SDM ultimately improve patients reported outcomes? These questions have yet no clear answer 5. However, SDM interventions such as decision aids show promise, and may improve patient knowledge and accuracy of expected outcomes related to benefit and harm of treatments 5 6…”

Medication adherence: where are we now? A UK perspective: Table 1

“…While the economic reasons for improving medication adherence are clear, there is also an imperative in the UK around patient-centred care8 and shared decision making 9. Shared decision making, a process by which a healthcare choice is made jointly by the practitioner and the patient, is central to patient-centred care and both empower patients to make decisions and take responsibility for implementing chosen treatment options.…”