Shared Decision Making — The Pinnacle of Patient-Centered Care

Use of a decision aid including information on overdetection to support informed choice about breast cancer screening: a randomised controlled trial

“…8,9 It is argued that a person-centred health system should facilitate decision making that incorporates individual values and preferences, regardless whether the eventual choice is to screen or not. 10 In turn, key performance indicators for screening should reflect informed choice rather than participation. 9,11,12 Despite calls for better information about overdetection for women invited to breast screening, few studies have reported public responses to this issue.…”

Do Pediatric Patients Have a Right to Know?

“…Unfortunately, many encounters of this type take place with specialists who might not know the patient or her parents all that well and hence may be unable to effectively argue against parents' refusal to permit the child to participate in discussions about medical care. Nevertheless, it is widely understood and accepted that the preferred model for effective and ethically justifiable medical decision making for both adults and children is one that embraces shared responsibility, involving the parents and child (to the extent she can or wishes to be involved) in a twoway conversation, which can be challenging at times given the differences in family dynamics, the emotional tension of the situation, and so on [7,12,13].…”

An overview of quality and safety in health care

“…41 Before discussing variation in health care in more detail, it is worth reflecting on the importance of patient-centred care. 42 It is increasingly clear that well-informed patients do not necessarily demand every available treatment. 1,43 Patients who are engaged in their own care and have a reasonable understanding of their options (including the option of doing nothing) are likely to make better choices and contribute more constructively to their own safety than those who are not.…”

“…41 Avant de traiter de la variation dans les soins de santé de façon plus détaillée, il convient de réfléchir à l'importance des soins centre´s sur le patient. 42 Il est de plus en plus clair que des patients bien informés n'exigent pas forcément tous les traitements à leur disposition. 1,43 Les patients qui s'impliquent dans leurs soins et ont une compréhension raisonnable de leurs options (y compris l'option de ne rien faire) feront probablement de meilleurs choix et contribueront de façon plus constructive à leur propre sécurité que des patients qui ne s'impliquent pas.…”