Shared decision making to improve care and reduce costs.

@article{OshimaLee2013SharedDM,
  title={Shared decision making to improve care and reduce costs.},
  author={Emily Oshima Lee and Ezekiel J. Emanuel},
  journal={The New England journal of medicine},
  year={2013},
  volume={368 1},
  pages={
          6-8
        }
}
Section 3506 of the Affordable Care Act encourages use of shared decision making in health care, but progress on this front has been slow. The first step is for the Centers for Medicare and Medicaid Services to begin certifying and implementing patient decision aids. 
View on PubMed
alumni.reed.edu
627 Citations
Highly Influential Citations
12
Background Citations
193
Methods Citations
14
Results Citations
5

627 Citations

Citation Type

Citation Type

Shared decision making in healthcare
Shared decision making is at the core of the new-look NHS. Everyone will be familiar with ‘no decision about me without me’ but how familiar are we with actually making shared decisions in practice?
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…
Does value mean quality? The payer's perspective.
  • J. Malin
  • Medicine
    Journal of oncology practice
  • 2013
The author concludes that quality cancer care needs to be high-value care, and it is up to the clinicians who are actually providing cancer care to determine how best to achieve the desired outcomes…
Engaging our patients: shared decision making and interventional radiology.
TLDR
Patient-centered care is the new mantra of U.S. health care in the Affordable Care Act era, according to the Kaiser Family Foundation.
A skills network approach to physicians’ competence in shared decision making
Measurement of physicians’ competence in shared decision making (SDM) remains challenging with frequent disagreement between assessment methods.
Systematic review of shared decision‐making in surgery
TLDR
This review aimed to assess the extent to which SDM is applied during surgical consultations, and the metrics used to measure SDM and SDM‐related outcomes.
Interventions to support shared decision making for hypertension: A systematic review of controlled studies
TLDR
Control of hypertension improves population cardiovascular outcomes and Shared decision making has the potential to align decisions with the preferences and values of patients.
Was a decision made? An assessment of patient–clinician discordance in medical oncology encounters
TLDR
The extent to which patients and clinicians agree on whether a cancer care decision was made during an outpatient encounter is estimated.
Shared DecisionMaking for Antidepressants in Primary Care A Cluster Randomized Trial
TLDR
The Depression Medication Choice (DMC) encounter decision aid is developed, designed to help patients and clinicians consider the available antidepressants and the extent to which they improved depression and other issues important to patients.
Patient and physician views of shared decision making in cancer
  • N. Tamirisa, J. Goodwin, +5 authors T. Riall
  • Medicine
    Health expectations : an international journal of public participation in health care and health policy
  • 2017
Engaging patients in shared decision making involves patient knowledge of treatment options and physician elicitation of patient preferences.
...
1
2
3
4
5
...

References

SHOWING 1-6 OF 6 REFERENCES
Communication and Decision‐Making in Seriously Ill Patients: Findings of the SUPPORT Project
TLDR
One of the largest and most comprehensive efforts to describe patient preferences in seriously ill patients, and to evaluate how effectively patient preferences are communicated, is reviewed.
Introducing decision aids at Group Health was linked to sharply lower hip and knee surgery rates and costs.
TLDR
The concept that patient decision aids for some health conditions, for which treatment decisions are highly sensitive to both patients' and physicians' preferences, may reduce rates of elective surgery and lower costs is supported.
Informed decision making in outpatient practice: time to get back to basics.
TLDR
Informed decision making among this group of primary care physicians and surgeons was often incomplete, and this deficit was present even when criteria for informed decision making were tailored to expect less extensive discussion for decisions of lower complexity.
Informed consent to promote patient-centered care.
PATIENT CENTEREDNESS HAS BECOME A DESIDERATUM OF health care reform. The Institute of Medicine (IOM) nameditasoneof its6coreattributesofahigh-quality healthcaresystem. TheCommonwealthFund’sCommission…
Decision aids for people facing health treatment or screening decisions.
TLDR
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.
Decision aids for people facing health treatment or screening decisions.
TLDR
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.