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Health Aff (Millwood). 2016 Apr;35(4):627-9. doi: 10.1377/hlthaff.2015.1354.

Shared Decision Making: The Need For Patient-Clinician Conversation, Not Just Information.

Author information

1
Ian Hargraves is a service designer in the Knowledge and Evaluation Research Unit at Mayo Clinic, in Rochester, Minnesota.
2
Annie LeBlanc is an assistant professor of health services research and an investigator in the Knowledge and Evaluation Research Unit at Mayo Clinic.
3
Nilay D. Shah is an associate professor of health care policy and research at Mayo Clinic.
4
Victor M. Montori (montori.victor@mayo.edu) is a professor of medicine and lead investigator in the Knowledge and Evaluation Research Unit at Mayo Clinic.

Abstract

The growth of shared decision making has been driven largely by the understanding that patients need information and choices regarding their health care. But while these are important elements for patients who make decisions in partnership with their clinicians, our experience suggests that they are not enough to address the larger issue: the need for the patient and clinician to jointly create a course of action that is best for the individual patient and his or her family. The larger need in evidence-informed shared decision making is for a patient-clinician interaction that offers conversation, not just information, and care, not just choice.

KEYWORDS:

Evidence-Based Medicine; patient-centered care; shared decision making

PMID:
27044962
DOI:
10.1377/hlthaff.2015.1354
[Indexed for MEDLINE]

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