Shared Decision Making in Health Care: Achieving evidence-based patient choiceGlyn Elwyn, Adrian Edwards, Rachel Thompson Over the past decade health care systems around the world have placed increasing importance on the relationship between patient choice and clinical decision-making. In the years since the publication of the second edition of Shared Decision Making in Health Care, there have been significant new developments in the field, most notably in the US where 'Obamacare' puts shared decision making (SDM) at the centre of the 2009 Affordable Care Act. This new edition explores shared decision making by examining, from practical and theoretical perspectives, what should comprise an effective decision-making process. It also looks at the benefits and potential difficulties that arise when patients and clinicians share health care decisions. Written by leading experts from around the world and utilizing high quality evidence, the book provides an up-to-date reference with real-word context to the topics discussed, and in-depth coverage of the practicalities of implementing and teaching SDM. The breadth of information in Shared Decision Making in Health Care makes it an essential resource for policy-makers and health care workers. As health care systems adapt to increasingly collaborative patient-clinician care frameworks, this will also prove a useful guide to SDM for clinicians of all disciplines. |
Contents
A path to customized rather
than commercialized health care | 2 |
Patients involvement
in real world contexts | 7 |
3 Embracing patient and family engagement to advance shared
decision making | 13 |
4 Overcoming implementation challenges to advance shared decision making in routine practice | 19 |
An organizational imperative | 24 |
6 The role of shared decision making in achieving allocative efficiency
in health systems | 30 |
7 Emerging legal issues for providers in the USA | 38 |
8 Preparing patients ahead of time to share decisions about
their health care | 43 |
A systematic review | 160 |
26 Patientreported measures of shared decision making | 168 |
27 Observer measures of shared decision making | 176 |
The role of incentives | 182 |
The shared decision making story at Group Health | 190 |
Different outcomes from different approaches
Experience from the Cardiff MAGIC Programme UK | 197 |
Changing culture and delivery to achieve shared decision making at DartmouthHitchcock Medical Center New Hampshire | 204 |
Letting patients decideA novel distribution strategy
in primary care Massachusetts General Hospital | 210 |
A practical guide for clinicians | 51 |
10 Tools to engage patients in clinical encounters | 57 |
11 Engaging clinical teams in an interprofessional approach to shared decision making | 64 |
12 The science and art of partnering with patients in research | 70 |
13 The three talk model of shared decision making | 78 |
14 Models for teaching shared decision making | 86 |
15 Standardized patients as educational interventions | 94 |
New technology solutions for teaching
and learning shared decision making | 99 |
17 Dispelling myths about the implementation of shared
decision making | 105 |
18 What you need to know as a clinician about risk communication | 112 |
19 Making sense of numbers about health risksThe Facts Box | 123 |
Beware of guidelines
with expanded disease definitions | 129 |
A framework to evaluate the quality of evidence
and facilitate shared decision making | 136 |
A systematic review | 144 |
A systematic review | 150 |
A systematic review | 154 |
Developing and implementing decision support
at the Palo Alto Medical Foundation | 215 |
Interventions to create better conversations
at the Mayo Clinic | 222 |
35 Shared decision making interventions and health inequalities | 230 |
36 Shared decision making health literacy and patient empowerment | 234 |
Integrating
two basic tools | 239 |
How can shared decision making fit into quality improvement efforts? | 246 |
39 Bringing shared decision making and evidencebased
practice together | 254 |
Interventions to engage people in decision making | 261 |
41 How can journalists do a better job reporting on the principles
of shared decision making? | 270 |
42 What can patients and patient groups do to promote shared
decision making? | 277 |
43 What can junior physicians do to help promote shared
decision making? | 282 |
44 What can experienced physicians do to help promote shared
decision making? | 289 |
45 What can medical educators do to help promote shared
decision making? | 295 |
| 301 | |
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Common terms and phrases
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