Grace Lin|Angela Fagerlin
Shared Decision Making
Lee University|University of Michigan–Ann Arbor|VA Center for Clinical Management Research|Lee University|University of Michigan–Ann Arbor|VA Center for Clinical Management Research
p atients traditionally entrusted decision making physicianshowever past several decades patients encouraged become activated involved health decisionsthese situations abound cardiology example therapy stable coronary artery disease anticoagulation atrial fibrillation placement implantable cardioverterdefibrillatorseach condition demands patient participation decisionmaking process patients live consequences medical decisions daytoday livesunfortunately research also shown patients often misinformed risks benefits associated treatments little involvement decisionmaking process 12thus 1 great challenges increasing patient engagement ensuring patients make informed evidencebased decisions consistent values preferencesshared decision making sdm come forefront way improve clinical care patients encouraging production dissemination accurate balanced understandable health information increasing patient participation caresdm interventions shown improve patients understanding available treatment options increase proportion patients realistic expectations benefits harms stimulate patients involvement decision making improve agreement patients values treatment choices 3incorporating patient preferences decisionmaking process may also lead improved patient wellbeing better adherence treatment fewer concerns illness higher satisfaction health outcomes 45n article review state science field sdmwe discuss models sdm well methods providing decision support patients including best practices risk communication efficacy decision aids das decision support use decision coaches facilitate shared decision making