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Shared decision-making in health care: achieving evidence-based patient choice
| Content Provider | Semantic Scholar |
|---|---|
| Author | Edwards, Adrian Elwyn, Glyn |
| Copyright Year | 2016 |
| Abstract | For anyone interested in the future of family medicine, Shared Decision-Making in Health Care: Achieving Evidence-based Patient Choice is highly recommended reading. Edwards and Elwyn have made a seminal contribution with the publication of this work. In this second edition, they have collected a group of more than 80 international leaders and thinkers in the area of primary care and produced a wonderfully clear and comprehensive work summarizing the current thinking and advances in the field of shared decision making (SDM). This beautifully referenced and logically structured book provides excellent well-referenced reviews organized in five main thematic areas. The book starts with an excellent chapter by the editors summarizing the current crossroads in family medicine. The book is about the evolution of evidence-based medicine into shared decision making in primary care. The initial volume of the work in 2001 was titled Evidence-based Patient Choice—Inevitable or Impossible? They map the evolution of these concepts over recent years, suggesting that the term most in favor, shared decision making, means incorporating the patient context to the degree that the patient wishes to be involved in the decision-making process. The initial section gives a theoretical framework for how the field of shared decision making about evidencebased patient choice has developed and highlights the evolving structural framework. Practical chapters summarize how shared decision making can be implemented and how this changing paradigm affects the roles of the health care team and patients’ experiences. The second theme provides discussions on theoretical structures approaching the question from a range of perspectives including psychological, sociological, ethical, and economic. The third theme focuses on conceptual development, acknowledging and highlighting that there remains uncertainty with regard to what shared decision making is, what purposes it serves, and how it is to be implemented. A number of different perspectives are considered, including informed choice, developing the expert patient, health literacy, what competencies are required for shared decision making, how one can clarify values, and discussions about how risks are communicated. The fourth section of this book focuses on shared decision making in health care practice. This section highlights a variety of areas including international health care systems, medical legal perspectives on shared decision making, and tools for enhancing patient (consumer) involvement. In terms of the latter, there is a wealth of information on methods for summarizing benefits and harms of treatments, how to support evidence-based patient choice in the context of conflict with vested interests of pharmaceutical companies, and a review of decision aids looking at their development and effectiveness. A key issue raised is concern regarding quality assurance in the development of decision aids, and the book highlights international collaborations formed in the last few years to help with the quality of criteria and assessment of patient tools for facilitating the medical decision making process. The final section of the book focuses on the future of telemedicine in the context of next and future developments in evidence-based patient choice. This chapter highlights the fact that shared decision making is currently being advocated for health care but is not yet fully defined or widely adopted in practice. There is discussion around how traditional forms of practice may evolve and change to encompass some of the principles endorsed within the concept of shared decision making. In the most provocative sentence in the book, the editors pose the “emperor’s new clothes question” about shared decision making: do patients really want it? This beautifully written book provides a theoretical and practical summary of the current state of knowledge about the evolution of evidence-based medicine and a glimpse into the future of primary care practice, and is well worth the investment of time and money to read. |
| File Format | PDF HTM / HTML |
| DOI | 10.1093/acprof:oso/9780198723448.001.0001 |
| Alternate Webpage(s) | http://www.thaddeuspope.com/images/Pope_Moulton_-_Legal_Issues_Shared_Decision_Making_OUP_2016_.pdf |
| Alternate Webpage(s) | http://www.gbv.de/dms/mpib-toc/592589641.pdf |
| Alternate Webpage(s) | https://doi.org/10.1093/acprof%3Aoso%2F9780198723448.001.0001 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
