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Z Evid Fortbild Qual Gesundhwes. 2017 Jun;123-124:104-108. doi: 10.1016/j.zefq.2017.05.012. Epub 2017 May 20.

Shared decision making as part of value based care: New U.S. policies challenge our readiness.

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Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT; Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut, USA. Electronic address:
The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire, USA.
Informed Medical Decisions Foundation, Healthwise Research and Advocacy, Boston, Massachusetts, USA.
Department of Health Services Research, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Palo Alto Medical Foundation Research Institute, Palo Alto, California; Department of Medicine, University of California, Los Angeles, California, USA, Department of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.


Shared decision making in the United States is increasingly being recognized as part of value-based care. During the last decade, several state and federal initiatives have linked shared decision making with reimbursement and increased protection from litigation. Additionally, private and public foundations are increasingly funding studies to identify best practices for moving shared decision making from the research world into clinical practice. These shifts offer opportunities and challenges for ensuring effective implementation.


Gesundheitspolitik; Patientenorientierung; Qualität; health policy; informed consent; informierte Einwilligung; partizipative Entscheidungsfindung; patient engagement; quality; shared decision making; value-based care; wertorientierte Versorgung

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