Implementation of Shared Decision Making in Cardiovascular Care

Implementation of shared decision making in cardiovascular care: past, present, and future.

D espite recent health policy recommendations supporting shared decision making (SDM), a rapidly growing evidence base supporting the desirable effects of tools to facilitate SDM, availability of SDM tools specifically designed for cardiovascular care (Table 1), 1 and recent advocacy for SDM in cardiovascular guidelines, 2,3 SDM has not been widely incorporated into routine clinical practice. A...

Measuring shared decision making: a review of constructs, measures, and opportunities for cardiovascular care.

Shared Decision-Making after Implementation of the Chronic Care Model (CCM)—An Evaluative Approach

Background: In paternalistic models, healthcare providers’ responsibility is to decide what is best for patients. The main concern is that such models fail to respect patient autonomy and do not promote patient responsibility. Aim: To evaluate mental healthcare team members’ perceptions of their own role in encouraging elderly persons to participate in shared decision-making after implementatio...

Implementing shared decision making in routine mental health care.

Shared decision making (SDM) in mental health care involves clinicians and patients working together to make decisions. The key elements of SDM have been identified, decision support tools have been developed, and SDM has been recommended in mental health at policy level. Yet implementation remains limited. Two justifications are typically advanced in support of SDM. The clinical justification ...

Physicians' shared decision-making behaviors in depression care.

BACKGROUND Although shared decision making (SDM) has been reported to facilitate quality care, few studies have explored the extent to which SDM is implemented in primary care and factors that influence its application. This study assesses the extent to which physicians enact SDM behaviors and describes factors associated with physicians' SDM behaviors within the context of depression care. M...