NDLI: Shared decision making: what do clinicians need to know and why should they bother?

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Shared decision making: what do clinicians need to know and why should they bother?

Content Provider	Semantic Scholar
Author	Hoffmann, Tammy C. Mar, Chris Del
Copyright Year	2014
Abstract	Shared decision making is a consultation process where a clinician and patient jointly participate in making a health decision, having discussed the options and their benefi ts and harms, and having considered the patient's values, preferences and circumstances. Shared decision making is not a single step to be added into a consultation, but can provide a framework for communicating with patients about health care choices to help improve conversation quality. It is a process that can be used to guide decisions about screening, tests and treatments. It can also be thought of as a mechanism for applying evidence with an individual patient through personalising the clinical decision. Although, to date, most research about shared decision making has focused on medical practitioners, it is relevant to clinicians of all disciplines, including nursing and allied health.1 Shared decision making can be viewed as a continuum,2 along which the extent to which a patient or a clinician takes responsibility for the decision-making processes varies. At the extremes are clinician-led decisions and patient-led decisions, with many other possible approaches in between.2,3 The extent of involvement will vary between individuals and between consultations, and according to the patient's preferences and the context in which the decision is occurring. Regardless of whether the patient or clinician takes the lead in the decision-making process, joint discussion should occur.
File Format	PDF HTM / HTML
DOI	10.5694/mja14.01124
PubMed reference number	25358570
Journal	Medline
Volume Number	201
Issue Number	9
Alternate Webpage(s)	https://www.mja.com.au/system/files/issues/201_01/hof00002.pdf
Journal	The Medical journal of Australia
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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