Manufactured but not imported: new directions for research in shared decision making support and skills.

Full Abstract

Significant conceptual work on shared decision making has taken place but there are still significant challenges in achieving it in routine clinical practice. This paper outlines what research has identified to date that may promote shared decision making, and the further research that is required to enable continuing progress. Greater understanding of the models of decision making and instruments to identify them in practice are still required. Specifying consumer competences, developing instruments to assess these and interventions to enhance them may also be important. Clarifying all these aspects may enable those charged with training professionals to improve the content of professional development programmes. This may be particularly important in the field of cancer treatments where the stakes are high-patients usually desire much information but their desire for involvement in decision making is more variable. The consequences of getting this balance right or wrong are significant with much to be gained or lost. Continued development and evaluation of decision aids and decision explorers that use interactive technology will also be important in identifying how to progress with consumer involvement. If we can learn these lessons, then wider implementation of shared decision making or consumer involvement may become a nearer prospect.

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Author information

Author/s: Edwards, Adrian (A); Evans, Rhodri (R); Elwyn, Glyn (G);

Affiliation: Department of Primary Care, Swansea Clinical School, University of Wales, Singleton Park, Swansea, Wales SA2 8PP, UK. adriangkedwards(-atsign-)btinternet.com

Journal and publication information

Publication Type: Journal Article; Review

Journal: Patient education and counseling (Patient Educ Couns), published in Ireland. (Language: eng)

Reference: 2003-May; vol 50 (issue 1) : pp 33-8

Dates: Created 2003/05/27; Completed 2003/07/25; Revised 2005/11/16;

PMID: 12767582, status: MEDLINE (last retrieval date: 11/6/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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