Shared decision-making in medicine

Shared decision-making in medicine (SDM) is a process in which both the patient and physician contribute to the medical decision-making process and agree on treatment decisions.^[1] Health care providers explain treatments and alternatives to patients and help them choose the treatment option that best aligns with their preferences as well as their unique cultural and personal beliefs.^[2]^[3]

In contrast to SDM, the traditional biomedical care system placed physicians in a position of authority with patients playing a passive role in care.^[4] Physicians instructed patients about what to do, and patients rarely took part in the treatment decision.^[5]

^ Butler AM, Elkins S, Kowalkowski M, Raphael JL (February 2015). "Shared decision making among parents of children with mental health conditions compared to children with chronic physical conditions". Maternal and Child Health Journal. 19 (2): 410–418. doi:10.1007/s10995-014-1523-y. PMID 24880252. S2CID 7550981.
^ Légaré F, Witteman HO (February 2013). "Shared decision making: examining key elements and barriers to adoption into routine clinical practice". Health Affairs. 32 (2): 276–284. doi:10.1377/hlthaff.2012.1078. PMID 23381520.
^ Florin J, Ehrenberg A, Ehnfors M (November 2008). "Clinical decision-making: predictors of patient participation in nursing care". Journal of Clinical Nursing. 17 (21): 2935–2944. doi:10.1111/j.1365-2702.2008.02328.x. PMID 19034992.
^ Lyttle DJ, Ryan A (December 2010). "Factors influencing older patients' participation in care: a review of the literature". International Journal of Older People Nursing. 5 (4): 274–82. doi:10.1111/j.1748-3743.2010.00245.x. PMID 21083806.
^ Buchanan A (Summer 1978). "Medical paternalism". Philosophy & Public Affairs. 7 (4): 370–90. JSTOR 2264963. PMID 11664929.

[butlerelkinskowalski-1] Butler AM, Elkins S, Kowalkowski M, Raphael JL (February 2015). "Shared decision making among parents of children with mental health conditions compared to children with chronic physical conditions". Maternal and Child Health Journal. 19 (2): 410–418. doi:10.1007/s10995-014-1523-y. PMID 24880252. S2CID 7550981.

[legarewitteman-2] Légaré F, Witteman HO (February 2013). "Shared decision making: examining key elements and barriers to adoption into routine clinical practice". Health Affairs. 32 (2): 276–284. doi:10.1377/hlthaff.2012.1078. PMID 23381520.

[florinehrenbergehnfors-3] Florin J, Ehrenberg A, Ehnfors M (November 2008). "Clinical decision-making: predictors of patient participation in nursing care". Journal of Clinical Nursing. 17 (21): 2935–2944. doi:10.1111/j.1365-2702.2008.02328.x. PMID 19034992.

[4] Lyttle DJ, Ryan A (December 2010). "Factors influencing older patients' participation in care: a review of the literature". International Journal of Older People Nursing. 5 (4): 274–82. doi:10.1111/j.1748-3743.2010.00245.x. PMID 21083806.

[pmid11664929-5] Buchanan A (Summer 1978). "Medical paternalism". Philosophy & Public Affairs. 7 (4): 370–90. JSTOR 2264963. PMID 11664929.

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