What Is Shared Decision Making? (and What It Is Not)
Open accessAbstract
Both the practice of medicine and the expectations of patients regarding their care are changing. A point of confluence is in the need for medicine to be more patient centered, and in the need for patients to be more involved in their care.(1,2) This confluence is particularly pertinent when more than one reasonable approach is available to manage the patient's situation, and when those approaches differ in ways that matter to patients.(3) In shared decision-making (SDM), clinicians and patients work together to understand the patient's situation and to determine how best to address it. Emergency medicine is not exempt from these trends. In this paper we seek to define SDM and its role in contemporary healthcare. Our goal is to set the stage for the active exploration of SDM in the care of patients in the emergency department. This article is protected by copyright. All rights reserved
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A key component of patient-centered care is shared decision-making aimed at identifying the treatment best suited to the individual patient's situation.
“A key component of patient-centered care is shared decision-making aimed at identifying the treatment best suited to the individual patients’ situation [25, 26].”
From Explainability for artificial intelligence in healthcare: a multidisciplinary perspective (2020) · cites this paper as [26]
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Motivational Barriers to Care and the Ethics of Encouragement
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Sainsbury, K., Walburn, J., Foster, L., Morgan, M., Sarkany, R., Weinman, J., & Araújo-Soares, V. (2020) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2020.1840379 · Cited by 10 · see citing works
Segers, E. W., Ketelaar, M., Taddio, A., de Man, M. A. C. P., Schoonhoven, L., van de Putte, E. M., & van den Hoogen, A. (2021) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2021.06.018 · Cited by 11 · see citing works
Golden, S. E., Disher, N. G., Dieckmann, N. F., Eden, K., Matlock, D. D., Vranas, K. C., Slatore, C. G., & Sullivan, D. R. (2022) · PEC Innovation · doi:10.1016/j.pecinn.2022.100094 · Cited by 11 · see citing works
Schulz, A., & Bohnet-Joschko, S. (2024) · BMC Health Services Research · doi:10.1186/s12913-024-11225-3 · Cited by 11 · see citing works
Shared decision making process measures and patient problems
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Self-citationHbA1c as a shared treatment goal in type 2 diabetes? A secondary analysis of the DEBATE trial
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Medication Nonadherence: There’s an App for That!
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Medical Complexity of Children with Special Healthcare Needs and Healthcare Experiences
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Hijne, K., van der Sluijs, J. F. V. E., Kloth, S. A. M., Lucassen, P. L., Reinders, M., Tak, L. M., Gerritsen, L., & Geenen, R. (2021) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2021.110712 · Cited by 9 · see citing works
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A Pre-Test–Post-Test Trial of a Breast Cancer Risk Report for Women in Their 40s
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Self-citationReese, A. D., Wanstreet, T., Callaham, S., & Carr, M. M. (2021) · Cureus · doi:10.7759/cureus.14274 · Cited by 6 · see citing works
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Self-citationAssessing collaborative efforts of making care fit for each patient: A systematic review
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Self-citationThe Importance of Applying Evidence-Based Medicine in Clinical Practice
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Big Science for patient centred care
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Self-citationShared decision-making in limb salvage versus amputation
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Narapaka, P. K., Singh, M., Ramesh, M., & Dhingra, S. (2023) · Journal of Public Health · doi:10.1007/s10389-023-02153-3 · Cited by 4 · see citing works
Shared decision making in the treatment of pediatric strabismus
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Medication decision making under uncertainty: Considering chronic disease and pregnancy potential
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Values informing the development of an indicator of appropriate diabetes therapy: qualitative study
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SHARED DECISION MAKING: A FUNDAMENTAL COMPONENT OF PATIENT-CENTERED CARE FOR DENTAL PATIENTS
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Shared Decision-making in Palliative and End‑of‑life Care in the Cardiac Intensive Care Unit
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Development of a patient decision aid for type 2 diabetes mellitus: a patient-centered approach
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Wu, Y.-T., Lao, H., Kao, S. C., Lin, Y., Yang, Y.-C., Li, Y.-H., & Chen, Y. (2025) · Journal of Personalized Medicine · doi:10.3390/jpm15050191 · Cited by 3 · see citing works
Patient and care team perspectives on an app to support Hospital at Home admission decision making
Kramer, J., Kowalkowski, M. A., Reeves, K. W., Eaton, T. A., Chou, S., Murphy, S., Hole, C., Ganesan, A., & McWilliams, A. D. (2024) · Journal of Hospital Medicine · doi:10.1002/jhm.13475 · Cited by 3 · see citing works
- Authors
- Kunneman, M., Montori, V. M., Castaneda‐Guarderas, A., & Hess, E. P.
- Affiliations
- Mayo Clinic (US)
- Knowledge and Evaluation Research Unit Department of Medicine Mayo Clinic Rochester MN
- Venue
- Academic Emergency Medicine
- Publisher
- Wiley
- Published
- 2016-11-25
- Volume
- 23
- Issue
- 12
- Pages
- 1320-1324
- ISSN
- 1069-6563 (ISSN-L)
- 1553-2712
- OpenAlex
- W2533540300
- Cited by
- 143
- References
- 20
- Citations by year
- 2026: 8 · 2025: 15 · 2024: 20 · 2023: 16 · 2022: 14 · 2021: 14 · 2020: 16 · 2019: 7 · 2018: 19 · 2017: 11 · 2016: 3
- FWCI
- 24.80
- Type
- journal article
- Language
- en
- Open access
- green
- pure.amsterdamumc.nl
- Licence
- Locations
- Academic Emergency Medicine (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Keywords
- shared decision-making, patient-centered care, patient involvement in care, patient-provider partnership, emergency department care, patient expectations
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