作者
Tammy C Hoffmann, France Legare, Magenta B Simmons, Kevin McNamara, Kirsten McCaffery, Lyndal J Trevena, Ben Hudson, Paul P Glasziou, Christopher B Del Mar
发表日期
2014/7
期刊
Medical Journal of Australia
卷号
201
期号
1
页码范围
35-39
简介
  • Shared decision making enables a clinician and patient to participate jointly in making a health decision, having discussed the options and their benefits and harms, and having considered the patient's values, preferences and circumstances. It is not a single step to be added into a consultation, but a process that can be used to guide decisions about screening, investigations and treatments.
  • The benefits of shared decision making include enabling evidence and patients' preferences to be incorporated into a consultation; improving patient knowledge, risk perception accuracy and patient–clinician communication; and reducing decisional conflict, feeling uninformed and inappropriate use of tests and treatments.
  • Various approaches can be used to guide clinicians through the process. We elaborate on five simple questions that can be used: What will happen if the patient waits and watches? What are the test or …
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