Shared decision making and patient decision aids in dermatology

Abstract

Shared decision making combines individual patient interests and values with clinical best evidence under the guiding principle of patient autonomy. Patient decision aids can support shared decision making and facilitate decisions that have multiple options with varying outcomes for which patients may attribute different values. Given the variable psychosocial impact of skin disease on individuals and relative uncertainty regarding best treatments and their adherence in many dermatological conditions, informed shared decision making, supported by patient decision aids, should constitute a central component of dermatological care.

Identification of factors that may influence the selection of first‐line biological therapy for people with psoriasis: a prospective, multicentre cohort study

“…A recent comparison of dermatologist and patient preferences has highlighted the potential for improved patient care following better communication between these groups . There may be an important role to play for shared decision making and the use of patient decision aids in the context of dermatology …”

“…32 There may be an important role to play for shared decision making and the use of patient decision aids in the context of dermatology. 33 The importance of understanding the drivers of treatment choice is emphasized by the increasing complexity for clinicians and patients in selecting a first-line biologic, with a larger number of candidate drugs becoming available. Two IL-17 inhibitors (secukinumab and ixekizumab) have recently been recommended by NICE for treating moderate-to-severe plaque psoriasis.…”

The role of the nurse in the care and management of patients with atopic dermatitis

“…This must take into consideration personal disease history, severity and co-morbidities, and match realistic care expectations and personal preferences to the best scientific evidence available. Shared decision making can be supported by patient decision aids [ 19 ].…”

Improving Value for Patients with Eczema

“…Health care providers are experts in the treatment and management of the conditions of their patients. These are the precepts of SDM-by acknowledging these fundamental principles, SDM presents an actionable framework, whereby patients and providers co-create effective solution strategies to complex issues [17].…”