SHARED DECISION MAKING FOR OTHER GENERAL CONDITIONS

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Published: Jul 22, 2020
DOI: https://doi.org/10.5750/ijpcm.v8i4.898
Keywords:
shared decision making chronic diseases noncommunicable disease therapeutic alliance person-centered care children

Main Article Content

Jim Appleyard
Board Advisor and Former President, International College of Person Centered Medicine; Former President, World Medical Association; President, International Association of Medical Colleges
Jon Snaedal
President, International College of Person Centered Medicine; Professor of Geriatric Medicine, Landspitali University Hospital, Reykjavik, Iceland

Abstract

Shared decision making based on clinical evidence and the patient’s informed preferences improves patient knowledge and ability to participate in their care with improvement to those with long-term health problems.A common ground between the patient and the physician is achieved through empathic communication skills with the provision of evidence-based information about options, outcomes, and uncertainties, together with decision support counseling and a systematic approach to recording and implementing patient’s preferences.It is important to recognize that the complexities of the clinical decision-making process with the confounding variables create difficulties in obtaining and measuring reproducible outcomes.

Article Details

Issue
Vol. 8 No. 4 (2018)
Section
Regular Articles

References

WHO. 2015. Global Strategy on People Centered Integrated Health Services, World Health Organization, Geneva.

Coulter A. 1997. Partnerships with Patients: The Pros and Cons of Shared Clinical Decision-Making. Journal of Health Services Research & Policy 2: 112–121.

Coulter A, Harter M, Moumjid-Ferdjaoui N, Perestelo-Perez L, van der Weijden T 2015. European Experience with Shared Decision Making. International Journal of Person Centered Medicine 5: 9–14.

Elwyn G, Frosch D, Thomson R, Joseph-Williams N, Lloyd A, Kinnersley P. 2012. Shared Decision Making: A Model for Clinical Practice. Journal of General Internal Medicine 27: 1361–1367.

President’s Commission for the Study of Ethical Problems in Medicine, Biomedical, Behavioral Research (US). 1982. Making health care decisions. President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research.

Elwyn GJ, Edwards A, Kinnersley P. 1999. Shared Decision Making in Primary Care: The Neglected Second Half of the Consultation. British Journal of General Practice 49: 477–482.

Adams N. 2012. Finding Common Ground: The Role of Integrative Diagnosis and Treatment Planning as a Pathway to Person-Centered Care. International Journal of Person Centered Medicine 2: 173–178.

Bieber C, Nicolai J, Hartmann M, Blumenstiel K, Ringel N, Schneider A, Haerter M, Eich W, Log A. 2009. Training Physicians in Shared Decision Making – Who Can Be Reached and What Is Achieved? Patient Education and Counselling7: 48–54.

Coulter A, Entwistle VA, Eccles A, Ryan S, Shepperd S, Perera R. 2015. Personalised Care Planning for Adults with Chronic or Long‐Term Health Conditions. Cochrane Database of Systematic Reviews Issue 3.

Kennedy A, Bower P, Reeves D, Blakeman T, Bowen R, Chew-Graham C, on behalf of the Salford National Institute for Health Research Gastrointestinal Programme Grant Research Group. 2013. Implementation of Self-management Support for Long-Term Conditions in Routine Primary Care Settings: Cluster Randomised Controlled Trial. British Medical Journal 346: 2882.

Kon AA, Morrison W. 2018. Shared Decision-Making in Pediatric Practice: A Broad View. Pediatrics 142 (Suppl 3): S129–S132.