Article
Health Care Sciences & Services
Danielle M. Muscat, Heather L. Shepherd, Don Nutbeam, Lyndal Trevena, Kirsten J. McCaffery
Summary: This paper presents an integrated model that aims to enhance patient engagement in healthcare by drawing on the strengths of health literacy and shared decision-making concepts. The model includes addressing patients' skills and capacities, as well as modifying written and verbal information. It proposes an expanded model of shared decision-making that incorporates health literacy concepts and promotes two-tiered intervention methods to improve communication targeting and personalization and support the development of transferable health literacy skills among patients.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Public, Environmental & Occupational Health
Olaug S. Lian, Sarah Nettleton, Huw Grange, Christopher Dowrick
Summary: This study explores the interactional processes of clinical decision-making during medical consultations, focusing on how patients show agency by proposing and opposing actions, as well as the normative dimensions and role expectations involved. The findings reveal that patients more frequently oppose actions than propose them, and their opposition is more direct. Patients reveal their values when explaining their proposals and opposition. The study also suggests that assertive patients have the most influence when they directly oppose actions and provide elaboration. However, patients' role-performance changes throughout the consultations, and they usually defer to the authority of general practitioners in the final stages of decision-making. The practice implications highlight the importance for clinicians to be attentive to patients' engagement in decision-making throughout the entire consultation, considering the normative dimensions and institutional constraints on patient actions.
PATIENT EDUCATION AND COUNSELING
(2022)
Article
Medical Informatics
Kaibiao Lin, Yong Liu, Ping Lu, Yimin Yang, Haiting Fan, Feiping Hong
Summary: This article introduces a fuzzy constraint-directed agent-based negotiation and recommendation framework for promoting shared decision-making (SDM) practice through intelligence. Experimental results show that the negotiation model effectively simulates preference negotiation and alleviates the pressure of increasing issues.
BMC MEDICAL INFORMATICS AND DECISION MAKING
(2022)
Article
Psychiatry
Zhuo-Ran Chen, Li Zhang, Ya-Wei Chen, Meng-Yang Xu, Hang Jia, Meng-Ying Li, Yu-Han Lou, Ling Lan
Summary: Shared decision-making is a scientific and rational model for decision-making. Whether physicians choose this model is influenced by various factors, and it is unclear whether the strained doctor-patient relationship affects their choice. A survey showed that most physicians perceived the doctor-patient relationship as poor or strained, however, this did not significantly impact their preference for shared decision-making.
FRONTIERS IN PSYCHIATRY
(2022)
Review
Nursing
Lotta Kuosmanen, Maija Hupli, Satu Ahtiluoto, Elina Haavisto
Summary: Research findings show that patients actively participate in shared decision-making in palliative care, desiring involvement in everyday nursing care, treatment decisions, and end-of-life decisions. Interdisciplinary teamwork, open communication, a good patient-professional relationship, a conducive environment, and mutual information are prerequisites for patient participation in shared decision-making.
JOURNAL OF CLINICAL NURSING
(2021)
Article
Education, Scientific Disciplines
Matthew Zegarek, Rebecca Brienza, Noel Quinn
Summary: Shared decision making (SDM) is a collaborative process that involves discussing preference-sensitive decisions with patients in an accessible format, allowing them to select an option that aligns with their values and preferences within the context of evidence-based medicine. Although SDM has shown to improve certain quality of care metrics and is included in competencies developed by accreditation bodies, incorporating SDM competencies into clinical teaching can be challenging.
Article
Public, Environmental & Occupational Health
Jose I. Perez-Revuelta, Francisco Gonzalez-Saiz, Juan M. Pascual-Pano, Jose M. Mongil-San Juan, Carmen Rodriguez-Gomez, Leticia I. Munoz-Manchado, Jesus Mestre-Morales, Esther Berrocoso, Jose Ma. Villagran Moreno
Summary: The use of shared decision making is limited in mental health, however, a clinical trial suggests that providing shared decision making with booster sessions can effectively improve treatment adherence in patients with schizophrenia.
PATIENT EDUCATION AND COUNSELING
(2023)
Article
Public, Environmental & Occupational Health
Veerle Y. Siebinga, Ellen M. Driever, Anne M. Stiggelbout, Paul L. P. Brand
Summary: This study found that shared decision making and patient-centered communication are not synonymous and have a weak correlation. In consultations, combinations of high SDM and low PCC or vice versa were common. The combination of high SDM and high PCC was associated with higher patient satisfaction scores.
PATIENT EDUCATION AND COUNSELING
(2022)
Article
Education, Scientific Disciplines
David A. Cook, Ian G. Hargraves, Christopher R. Stephenson, Steven J. Durning
Summary: This study analyzed patient-clinician interactions in management reasoning by observing simulated encounters. It identified problems and successful communication and examined them through the lens of two shared decision-making models. The findings highlighted the importance of effective communication in management reasoning.
Article
Medicine, General & Internal
Cheng-Hsu Chen, Chia-Tien Hsu, Ming-Ju Wu, Shang-Feng Tsai
Summary: This 5-year project on shared decision making for renal biopsy collected cases of biopsy and bleeding, and launched a quality improvement process for shared decision making, including the use of videos and an information platform. Results showed that shared decision making helped patients better understand renal biopsy, leading to increased satisfaction.
Article
Health Care Sciences & Services
Tone Andersen-Hollekim, Line Melby, Kari Sand, Heidi Gilstad, Anita Das, Marit Solbjor
Summary: The implementation of Cancer Patient Pathways (CPPs) in Norway aimed to improve cancer diagnostics and treatment initiation by ensuring standardized waiting times and enhancing patient participation through shared decision-making. This study found that standardized CPPs provided patients with predictability and safety, enabling shared decision-making when cancer diagnoses supported preference-sensitive treatment options. Balancing standardizations with individualized care is key to facilitating patient participation in CPPs.
HEALTH EXPECTATIONS
(2021)
Article
Public, Environmental & Occupational Health
Sascha M. Keij, Nanny Van Duijn-Bakker, Anne M. Stiggelbout, Arwen H. Pieterse
Summary: This study identified five key elements of patient readiness for shared decision making and ten characteristics that may influence these elements. Readiness for SDM may vary between and within patients, and clinicians should be aware that some patients may need support to enhance their readiness.
PATIENT EDUCATION AND COUNSELING
(2021)
Article
Public, Environmental & Occupational Health
Sandra A. Hartasanchez, Stuart W. Grande, Victor M. Montori, Marleen Kunneman, Juan P. Brito, Sarah McCarthy, Ian G. Hargraves
Summary: This study aims to identify how current observer-based shared decision-making measures apply to each mode of purposeful shared decision-making. The results show that the existing measures can describe behaviors applicable to all modes, but lack items sensitive to behaviors particular to some specific modes.
PATIENT EDUCATION AND COUNSELING
(2022)
Article
Public, Environmental & Occupational Health
Anke J. M. Oerlemans, Marjan L. Knippenberg, Gert J. Olthuis
Summary: Learning shared decision-making (SDM) in clinical practice involves observing and imitating other professionals, as well as reflecting on personal experiences. Both patients and professionals agree that learning the nuances of SDM is a complex task that requires involvement of patients, informal learning processes, and role models.
PATIENT EDUCATION AND COUNSELING
(2021)
Article
Public, Environmental & Occupational Health
Dariusz Galasinski, Justyna Ziolkowska, Glyn Elwyn
Summary: This article examines the challenges of implementing shared decision-making in practice and emphasizes the importance of social and cultural factors. The authors argue that shared decision-making is a communicative process that requires equal rights for all participants. Their findings suggest that clinical training should focus not only on communication skills, but also on understanding healthcare as a social practice. They also advocate for a stronger relationship between medicine and the humanities and social sciences. At the core of shared decision-making are issues of justice, equity, and agency.
PATIENT EDUCATION AND COUNSELING
(2023)
