Shared decision making--pinnacle of patient-centered care.

  title={Shared decision making--pinnacle of patient-centered care.},
  author={Michael J. Barry and Susan Edgman-Levitan},
  journal={The New England journal of medicine},
  volume={366 9},
The most important attribute of patient-centered care is the active engagement of patients when fateful health care decisions must be made — when they arrive at a crossroads of medical options, where diverging paths have different and important consequences. 

The Promise and Perils of Shared Decision-Making in Clinical Practice

Shared decision-making, a fundamental component of “patient-centered care,” should include a two-way exchange of information between the doctor and patient in which both parties have the opportunity


This map shows how health care provision in Europe has changed over the years, with improvements in both quality and quantity over time.

Supporting Better Patient Decisions at the Point of Care: What Payers and Delivery Systems Can Do

In this brief, we use four typical clinical cases to explore the barriers to and facilitators of patients’ decisions at the point of care.

Shared decision making in oncology: A model based on patients', health care professionals', and researchers' views

To construct a model of shared decision making (SDM) about cancer treatment by conducting an extensive consultation of stakeholders, informed by the literature.

Shared decision making and the internist.

The High-Value Care Considerations of Inpatient versus Outpatient Testing.

If a medical decision about high-value care involves a conflict between the principles of beneficence and justice, an explicit analysis of the individual case is necessary to ensure that the

Factors associated with shared decision making among primary care physicians: Findings from a multicentre cross‐sectional study

Despite growing recognition that shared decision making (SDM) is central for patient‐centred primary care, adoption by physicians remains limited in routine practice.

Physicians' perceptions of shared decision‐making behaviours: a qualitative study demonstrating the continued chasm between aspirations and clinical practice

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.

Shared Decision Making in Neurocritical Care.

Shared Decision Making in Neurocritical Care.




Clinical decision making: from theory to practice. Designing a practice policy. Standards, guidelines, and options.

Practice policies are inherently more difficult because they attempt to make decisions for a collection of patients rather than for a single patient.

Crossing the Quality Chasm: A New Health System for the 21st Century

  • A. Baker
  • Medicine, Political Science
    BMJ : British Medical Journal
  • 2001
Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Decision aids for people facing health treatment or screening decisions.

Tests indicate that decision aids improve knowledge and realistic expectations; enhance active participation in decision making; lower decisional conflict; decrease the proportion of people remaining undecided, and improve agreement between values and choice.

Decision aids for people facing health treatment or screening decisions.

The effectiveness of decision aids for people facing treatment or screening decisions was evaluated using published randomised controlled trials (RCTs), which are interventions designed to support patients' decision making by providing information about treatment or screened options and their associated outcomes, compared to usual care and/or alternative interventions.

Through the Patient's Eyes

Through the patient's eyes.

  • S. Edgman-Levitan
  • Medicine
    Journal of healthcare design : proceedings from the ... Symposium on Healthcare Design. Symposium on Healthcare Design
  • 1997