Work

Challenges to measuring and achieving shared decision‐making in practice

Year: 2018

Type: article

Abstract: Challenges to measuring and achieving shared decision-making in practiceShared decision-making (SDM) has been promoted for improving patient-centered care, specifically ensuring that decisions are made after careful consideration of the pros and cons of options, patients' underlying values and preferences, and patients are actively involved in shared conversations with their clinicians.1-3 Despite international support for the concept of SDM, challenges to achieving it have been noted.Some include: (i) measuring and operationalizing the concept of "shared decision-making," (ii) identifying tools to help support SDM, (iii) how to best integrate SDM into the clinical encounter.Several articles from this issue of Health Expectations highlight some of these challenges.Two manuscripts touch on the measurement of SDM, both reporting on the use of established measures in the field.4,5 Menear and colleagues evaluated the use of the OPTION scale in primary care settings.Two key factors were reported to be associated with higher OPTION scores, indicative of more SDM: (i) pa-

Source: Health Expectations

DOI: 10.1111/hex.12659

Author: Sarah T. Hawley

Institutions: University of Michigan, VA Ann Arbor Healthcare System, Michigan Medicine

Language: English

Topic: Patient-Provider Communication in Healthcare

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $4,190