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

Hoffmann,TC, Légaré,F, Simmons,MB, McNamara,K, McCaffery,K, Trevena,LJ, Hudson,B, Glasziou,PP and Del Mar,CB 2014, Shared decision making: what do clinicians need to know and why should they bother?, Medical journal of Australia, vol. 201, no. 1, pp. 35-39.

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Title Shared decision making: what do clinicians need to know and why should they bother?
Author(s) Hoffmann,TC
Légaré,F
Simmons,MB
McNamara,KORCID iD for McNamara,K orcid.org/0000-0001-6547-9153
McCaffery,K
Trevena,LJ
Hudson,B
Glasziou,PP
Del Mar,CB
Journal name Medical journal of Australia
Volume number 201
Issue number 1
Start page 35
End page 39
Total pages 5
Publisher Australasian Medical Publishing Company
Place of publication Strawberry Hills, NSW
Publication date 2014-07-07
ISSN 1326-5377
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
HEALTH-PROFESSIONALS PERCEPTIONS
PATIENT PREFERENCES
CARE PROVIDERS
INTERVENTIONS
FACILITATORS
BARRIERS
KNOWLEDGE
LITERACY
BEHAVIOR
MODEL
Summary Shared decision making enables a clinician and patient to participate jointly in making a health decision, having discussed the options and their benefits and harms, and having considered the patient's values, preferences and circumstances. It is not a single step to be added into a consultation, but a process that can be used to guide decisions about screening, investigations and treatments. The benefits of shared decision making include enabling evidence and patients' preferences to be incorporated into a consultation; improving patient knowledge, risk perception accuracy and patient-clinician communication; and reducing decisional conflict, feeling uninformed and inappropriate use of tests and treatments. Various approaches can be used to guide clinicians through the process. We elaborate on five simple questions that can be used: What will happen if the patient waits and watches? What are the test or treatment options? What are the benefits and harms of each option? How do the benefits and harms weigh up for the patient? Does the patient have enough information to make a choice? Although shared decision making can occur without tools, various types of decision support tools now exist to facilitate it. Misconceptions about shared decision making are hampering its implementation. We address the barriers, as perceived by clinicians. Despite numerous international initiatives to advance shared decision making, very little has occurred in Australia. Consequently, we are lagging behind many other countries and should act urgently.
Language eng
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, Australasian Medical Publishing Company
Persistent URL http://hdl.handle.net/10536/DRO/DU:30069280

Document type: Journal Article
Collections: Faculty of Health
Population Health
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