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. Attached Files Name Description MIMEType Size Downloads Title Shared decision making: what do clinicians need to know and why should they bother? Author(s) Hoffmann,TC Légaré,F Simmons,MB 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 Related Links Link Description Author URL Go to link with your DU access privileges   Connect to Elements publication management system Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Wed, 28 Jan 2015, 11:27:08 EST Thu, 29 Jan 2015, 04:01:32 EST Wed, 04 Feb 2015, 05:05:36 EST Thu, 05 Feb 2015, 11:27:02 EST Thu, 05 Feb 2015, 11:28:55 EST Filtered Full Citation counts:   Cited 161 times in TR Web of Science Cited 158 times in Scopus Search Google Scholar Access Statistics: 596 Abstract Views, 2 File Downloads  -  Detailed Statistics Created: Wed, 28 Jan 2015, 11:27:08 EST