Cardiff University | Prifysgol Caerdydd ORCA
Online Research @ Cardiff 
WelshClear Cookie - decide language by browser settings

Shared decision making: a model for clinical practice

Elwyn, Glyn, Frosch, Dominick, Thomson, Richard, Joseph-Williams, Natalie J., Lloyd, Amy, Kinnersley, Paul Richard, Cording, Emma, Tomson, Dave, Dodd, Carole, Rollnick, Stephen, Edwards, Adrian G. and Barry, Michael 2012. Shared decision making: a model for clinical practice. Journal of General Internal Medicine 27 (10) , pp. 1361-1367. 10.1007/s11606-012-2077-6

Full text not available from this repository.

Abstract

The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is shared and patients are supported to deliberate and express their preferences and views during the decision making process. To accomplish these tasks, we propose a model of how to do shared decision making that is based on choice, option and decision talk. The model has three steps: a) introducing choice, b) describing options, often by integrating the use of patient decision support, and c) helping patients explore preferences and make decisions. This model rests on supporting a process of deliberation, and on understanding that decisions should be influenced by exploring and respecting “what matters most” to patients as individuals, and that this exploration in turn depends on them developing informed preferences.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Publisher: Springer
ISSN: 0884-8734
Last Modified: 12 Jan 2018 20:18
URI: http://orca.cf.ac.uk/id/eprint/40067

Citation Data

Cited 208 times in Google Scholar. View in Google Scholar

Cited 905 times in Scopus. View in Scopus. Powered By Scopus® Data

Actions (repository staff only)

Edit Item Edit Item