Journal article

Shared decision making: what do clinicians need to know and why should they bother?

Tammy C Hoffmann, France Legare, Magenta B Simmons, Kevin McNamara, Kirsten McCaffery, Lyndal J Trevena, Ben Hudson, Paul P Glasziou, Christopher B Del Mar

Medical Journal of Australia | WILEY | Published : 2014

Abstract

Shared decision making enables a clinician and patient to participate jointly in making a health decision, having discussed the options and their benefits and harms, and having considered the patient's values, preferences and circumstances. It is not a single step to be added into a consultation, but a process that can be used to guide decisions about screening, investigations and treatments. The benefits of shared decision making include enabling evidence and patients' preferences to be incorporated into a consultation; improving patient knowledge, risk perception accuracy and patient-clinician communication; and reducing decisional conflict, feeling uninformed and inappropriate use of test..

View full abstract

Grants

Awarded by NHMRC/Primary Health Care Research, Evaluation and Development Career Development Fellowship


Awarded by HMRC Career Development Fellowship


Awarded by NHMRC Australia Fellowship


Awarded by NHMRC


Funding Acknowledgements

This article arose from discussions held at an inaugural national shared decision-making symposium in October 2013 on the Gold Coast, Australia. The symposium was sponsored by the Centre for Research in Evidence-Based Practice, the Australian Commission on Safety and Quality in Health Care (with particular thanks to Heather Buchan) and the National Health and Medical Research Council (NHMRC). Tammy Hoffmann is supported by NHMRC/Primary Health Care Research, Evaluation and Development Career Development Fellowship 1033038, with funding provided by the Australian Government Department of Health. Kirsten McCaffery is supported by NHMRC Career Development Fellowship 1029241. Paul Glasziou is supported by NHMRC Australia Fellowship 527500. Tammy Hoffmann, Paul Glasziou and Christopher Del Mar are chief investigators at the Centre for Research Excellence in Minimising Antibiotic Resistance from Acute Respiratory Infections, which is undertaking research in shared decision making (NHMRC grant 1044904).