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Journal Article
Shared decision-making is not common in clinical practice
2022
Overview
In addition to the evidence on benefits and harms, treatment considerations should depend on the patients’ preferences regarding quality or quantity of life. [...]patients should be involved in the decision-making process to improve the quality of care delivered. [...]they mentioned that patients’ characteristics for SDM, such as a low level of education, presence of cognitive impairment or difficulties in communication, complicate SDM. [...]research is needed to study communication patterns in current (surgical) decision-making processes in relation to theoretical SDM competencies, such as the conceptual model proposed by Elwyn. [...]observations of clinical practice consultations will provide insight into patients’ and professionals’ competences and needs for SDM, for example, revealing the need for patient empowerment. [...]specifically among older patients due to multimorbidity and heterogeneity, the SDM process is complex but
Publisher
BMJ Publishing Group Ltd and British Cardiovascular Society,BMJ Publishing Group LTD
Subject
