Power imbalance prevents shared decision making
@article{JosephWilliams2014PowerIP, title={Power imbalance prevents shared decision making}, author={Natalie Joseph-Williams and Adrian G. K. Edwards and Glyn Elwyn}, journal={BMJ : British Medical Journal}, year={2014}, volume={348} }
Providing information is not enough to enable shared decision making, argue Natalie Joseph-Williams and colleagues. Action is required to change the attitudes of both patients and doctors
161 Citations
Implementing shared decision making in the NHS: lessons from the MAGIC programme
- MedicineBritish Medical Journal
- 2017
Shared decision making requires a shift in attitudes at all levels but can become part of routine practice with the right support, say Natalie Joseph-Williams and colleagues
“What would you recommend doctor?”—Discourse analysis of a moment of dissonance when sharing decisions in clinical consultations
- MedicineHealth expectations : an international journal of public participation in health care and health policy
- 2019
This work states that a common patient‐reported barrier is feeling that “doctor knows best”; thus, patients often defer decisions to the clinician.
Decision aids to prepare patients for shared decision making: Two randomized controlled experiments on the impact of awareness of preference‐sensitivity and personal motives
- MedicineHealth expectations : an international journal of public participation in health care and health policy
- 2021
The potential of decision aids (DAs) in preparing patients for SDM by raising awareness of preference‐sensitivity and showing possible personal motives for decision making in addition to providing information about the treatment options is investigated.
A working partnership: A review of shared decision‐making in nephrology
- MedicineNephrology
- 2021
This review article highlights the broad range and context of decisions faced by patients in several areas of nephrology care and discusses patient‐important outcomes, priorities and motivations that underpin their decision‐making.
Weight bias among health care professionals: A systematic review and meta‐analysis
- MedicineObesity
- 2021
Weight‐biased attitudes and views held by health care professionals can have a negative impact on the patient‐provider relationship and the provision of care, but studies have found mixed results…
Patient views on asthma diagnosis and how a clinical decision support system could help: A qualitative study
- MedicineHealth expectations : an international journal of public participation in health care and health policy
- 2022
A clinical decision support system for use in primary care including a patient‐facing mode, could change how information is shared between patients and healthcare professionals and improve the diagnostic process.
Re-engineering shared decision-making
- MedicineJournal of Medical Ethics
- 2015
A re-engineered model is proposed in which physicians elicit and prioritise patients’ goals of care and then help translate those goals into treatment options, after clarifying the patient's underlying health status.
Lessons in Integrating Shared Decision-Making Into Cancer Care.
- MedicineJournal of oncology practice
- 2018
Denmark's Lillebaelt Hospital has learned key lessons in implementing SDM so that the organization's culture is actually being transformed, and SDM is becoming part of the fabric of care, not a mere add-on to it.
The role of medical schools in promoting social accountability through shared decision-making
- MedicineIsrael Journal of Health Policy Research
- 2014
To increase the implementation of shared decision-making practices in Israel, an official policy needs to be established to encourage the investment of resources towards helping educators, researchers, and practitioners translate and integrate it into daily practice.
Health Literacy and Shared Decision-making: Exploring the Relationship to Enable Meaningful Patient Engagement in Healthcare
- MedicineJournal of General Internal Medicine
- 2020
An expanded model of shared decision-making is proposed which incorporates health literacy concepts and promotes two-tiered intervention methods to improve the targeting and personalization of communication and support the development of transferable health literacy skills among patients.
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