From shared decision making to patient-centered decision making

From shared decision making to patient-centered decision making

Shared decision making involving patients and physicians has gained adherents in Israel and other countries and has many virtues. This commentary argues that medical decision making should ideally be shaped by the particular needs and preferences of the patient, which may be to share in decision making, or at times call for a physician to assume full responsibility for decisions or, at the othe...

Shared decision making: a path toward improved patient-centered outcomes.

Patient-centered, evidence-based decision making.

Butler • Editorial M physicians are committed to providing evidence-based care that is patient-centered and responsive to the clinical circumstances and values of each individual patient. However, there is increasing pressure from payers and those who attempt to define and measure quality in medical encounters for physicians to uniformly apply clinical guidelines to patients and minimize varian...

Communication: From Paternalism to Shared Decision Making

At the same time, significant progress in cancer treatment was under way, and an early diagnosis began to provide more hope for the cancer patient. Public educational efforts began to focus on providing information to lay people about cancer. Experts in the field prepared pamphlets describing various cancers and their warning signs in order to help patients turn to physicians at appropriate tim...

Shared decision-making and patient autonomy.

In patient-centred care, shared decision-making is advocated as the preferred form of medical decision-making. Shared decision-making is supported with reference to patient autonomy without abandoning the patient or giving up the possibility of influencing how the patient is benefited. It is, however, not transparent how shared decision-making is related to autonomy and, in effect, what support...