Implementing shared decision making in the NHS

@article{Elwyn2010ImplementingSD,
  title={Implementing shared decision making in the NHS},
  author={Glyn Elwyn and Steven Laitner and Angela Coulter and Emma Walker and P Watson and Richard G. Thomson},
  journal={BMJ : British Medical Journal},
  year={2010},
  volume={341}
}
Creation of a platform of tools to provide information to doctors and patients should be the first step in giving patients choice about their treatment, say Glyn Elwyn and colleagues. 
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656 Citations
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Shared Decision Making is a process of engaging patients in health decisions that involve multiple medically appropriate treatment options that are not widely practiced in clinical settings.
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It is important to foster in learners the ability to provide patient-centred care, using tools like shared decision making (SDM), to improve patients’ outcomes.
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Must be a core component of what it means to be a health professional and must be a part of the curriculum at the university level.
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Patient–physician shared decision‐making (SDM) has become increasingly seen as having a positive effect on management of chronic diseases. However, little is known of the factors that encourage SDM…
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To explore rheumatologists’ perceptions of patient decision aids (PtDAs) and identify barriers to using them in clinical practice, a large number of them believe that patients should have a say in their medical decisions.
Communication practices that encourage and constrain shared decision making in health‐care encounters: Systematic review of conversation analytic research
  • V. Land, R. Parry, J. Seymour
  • Medicine
    Health expectations : an international journal of public participation in health care and health policy
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Conversation analytic research has yielded detailed findings about decision making in health‐care encounters that are generally treated as good practice in health-care interactions.
Community pharmacists’ perspectives on shared decision‐making in diabetes management
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The aim of this study was to describe community pharmacists’ perceptions and awareness of SDM within their provision of general diabetes management [including Ontario's MedsCheck for Diabetes (MCD) programme], and potential challenges of implementingSDM within community pharmacy.
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This clinical focus article focuses on accessible hearing health information and outlines the connection between factors of patient-centered care, shared care, and access to information about hearing health conditions.
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References

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Objective  To examine the psychometric properties of a revised scale, named ‘observing patient involvement in decision making’ (OPTION), by analysing its reapplication to a sample of routine primary…
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TLDR
It is revealed that interventions to foster implementation of shared decision-making in clinical practice will need to address a broad range of factors, and that on this subject there is very little known about any health professionals others than physicians.
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TLDR
A continuum in women’s healthcare which may be significantly jeopardised by the potential fragmentation of commissioning is recommended and the opportunity to contribute to the leadership tasks inherent in the proposed reorganisation is welcomed.
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TLDR
It is argued that it is necessary to rethink the changes required in practice for the implementation of SDM and two orientations to sharing decisions are demonstrated: practitioner-centred and patient- Centred with the former predominating.
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