Article
Veterinary Sciences
Roswitha Merle, Alina M. Kueper
Summary: This study aimed to investigate the impact of veterinarian characteristics on their attitudes towards animal owners seeking self-information, particularly focusing on shared decision-making, age, and gender. It was found that veterinarians who viewed therapy failure as related to themselves had higher rates of shared decision-making, while those who attributed therapy failure to the animal owners had lower rates. Additionally, veterinarians who advised against self-information and perceived it as leading to uncertainty tended to have lower shared decision-making values.
FRONTIERS IN VETERINARY SCIENCE
(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
Health Care Sciences & Services
Ellen M. Driever, Anne M. Stiggelbout, Paul L. P. Brand
Summary: The level of patient involvement in medical specialist consultations is influenced by the type of decision being made and the duration of the consultation. Patients are most involved in treatment decisions and least involved in other types of decisions. It is recommended that physicians assist patients in participating in different types of decisions and allow sufficient time for shared decision-making.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Jocelyn L. Streid, Katherine C. Lee, Angela M. Bader, Molly P. Jarman, Ronnie A. Rosenthal, Zara Cooper, Charlotta Lindvall
Summary: This study examines the baseline performance of the Geriatric Surgery Verification (GSV) standard for documentation of preoperative goals for older patients and identifies factors associated with standard adherence. The study found that prior to the GSV program implementation, clinicians rarely met the standard for preoperative discussion of patient goals for two major operations. Factors such as gender, type of surgery, and comorbidities were associated with higher likelihood of meeting the standard.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2023)
Article
Surgery
Jasmine Panton, Brendin R. Beaulieu-Jones, Jayson S. Marwaha, Alison P. Woods, Drashko Nakikj, Nils Gehlenborg, Gabriel A. Brat
Summary: This study investigated how surgeons assess and communicate risks in surgery, with a focus on the role of risk calculators. The results showed that non-clinical factors, such as health and risk literacy, affect how surgeons evaluate and communicate risks, which differs from traditional risk calculators. The study also highlighted the misalignment between surgeons' perception of risk communication and patient priorities.
AMERICAN JOURNAL OF SURGERY
(2023)
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
Shelby R. Sferra, Joyce S. Cheng, Zachary Boynton, Verdi DiSesa, Larry R. Kaiser, Grace X. Ma, Cherie P. Erkmen
Summary: This study compared the efficacy of two shared decision making aids for lung cancer screening and found that both Option Grids and Shouldiscreen.com facilitated a meaningful SDM process. Patients using Option Grids experienced decreased decision regret and enhanced knowledge of potential complications, while patients using Shouldiscreen.com had less knowledge regarding potential complications and increased regret regarding their decision to pursue screening.
JOURNAL OF PUBLIC HEALTH
(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)
Review
Medicine, General & Internal
Xuejing Li, Meiqi Meng, Junqiang Zhao, Xiaoyan Zhang, Dan Yang, Jiaxin Fang, Junxin Wang, Liu Han, Yufang Hao
Summary: This scoping review focused on shared decision-making (SDM) for breast reconstruction (BR) in breast cancer (BC) patients, exploring the use of patient decision aids (PDAs), factors influencing SDM implementation, and patients' experiences and perceptions. Most studies emphasized quantitative outcome measures, highlighting decision quality, decision-making process quality, and impact.
PATIENT PREFERENCE AND ADHERENCE
(2021)
Article
Critical Care Medicine
Shawn P. E. Nishi, Lisa M. Lowenstein, Tito R. Mendoza, Maria A. Lopez, Laura C. Crocker, Karen Sepucha, Jiangong Niu, Robert J. Volk
Summary: Among patients recently assessed for LCS, the quality of decision-making is highly variable, with patients valuing early cancer detection over concerns about harms. Patients were more likely to receive information on the benefits of LCS than on the risks, and one-third experienced some degree of decisional conflict. However, most patients felt they were adequately involved in the screening decision-making process.
Article
Health Care Sciences & Services
Pei-Jung Hsu, Chia-Ying Wu, Lu-Cheng Kuo, Ming-Yuan Chen, Yu-Ling Chen, Szu-Fen Huang, Pao-Yu Chuang, Jih-Shuin Jerng, Shey-Ying Chen
Summary: This study aimed to assess the effectiveness of an online shared decision-making (SDM) process developed through participatory design. The integration of face-to-face communication and online processes allowed patients to access information, self-assess, and receive feedback, leading to improved SDM practice and effectiveness.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Review
Public, Environmental & Occupational Health
Dorinde E. M. van der Horst, Mirjam M. Garvelink, Willem Jan W. Bos, Anne M. Stiggelbout, Arwen H. Pieterse
Summary: Based on the analysis of 92 relevant papers, we identified 18 decision characteristics that are deemed appropriate for shared decision making (SDM), and analyzed the ambiguity and potential limitations. The findings can encourage clinicians to reconsider SDM in situations where it was not previously considered, and provide guidance for SDM campaigns and educational programs.
PATIENT EDUCATION AND COUNSELING
(2023)
Article
Surgery
Maham Javaid, Melanie Fritz, Mollie O'Brien, Sunday Clark, Suzanne Mitchell, Sabrina E. Sanchez
Summary: This study assessed the practice and perceptions of shared decision-making (SDM) by faculty and residents at Boston Medical Center. The results showed that although most participants had a positive attitude towards SDM, there was inconsistency in their engagement with SDM practices, and no clear association between clinician characteristics and specific behaviors.
JOURNAL OF SURGICAL RESEARCH
(2022)
Article
Public, Environmental & Occupational Health
Jeroen K. J. Bossen, Jesse Jansen, Trudy van der Weijden, Ide C. Heyligers
Summary: The study aimed to evaluate the effect of a shared decision-making (SDM) intervention in orthopaedic hip and knee osteoarthritis care. The intervention included a decision aid for patients and a SDM training course for residents and surgeons. Results showed that the intervention improved physicians' knowledge about SDM but had no effect on the primary outcomes such as patient reported decisional conflict, SDM, and satisfaction. The uptake of the decision aid was also low. Overall, the multifaceted intervention did not improve SDM in the orthopaedic care context.
PATIENT EDUCATION AND COUNSELING
(2022)
Article
Veterinary Sciences
Yuma Ito, Hirono Ishikawa, Asuka Suzuki, Mio Kato
Summary: This study examined the implementation of shared decision-making (SDM) in veterinary hospitals and its relationship with consultation satisfaction among pet owners. The majority of pet owners preferred SDM and there was a significant correlation between SDM and consultation satisfaction.
BMC VETERINARY RESEARCH
(2022)
