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Shared Decision Making in Health Care – Achieving evidence-based patient choice - Oxford Scholarship Online
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Shared Decision Making in Health Care: Achieving evidence-based patient choice

Glyn Elwyn, Adrian Edwards, and Rachel Thompson


In the past decade, the relationship between patient choice and clinical decision making has been seen as increasingly significant by healthcare systems around the globe. This 3rd edition of Shared Decision Making in Health Care addresses important developments in this area, including the placing of shared decision making (SDM) at the centre of the US 2009 Affordable Care Act by ‘Obamacare’. This resource examines what makes an effective decision-making process from both theoretical and practical viewpoints, and the benefits and obstacles arising in shared patient–clinician decision making. It ... More

Keywords: shared decision making, healthcare, evidence, international, health inequalities, policy, technology, risk communication, patient, practice

Bibliographic Information

Print publication date: 2016 Print ISBN-13: 9780198723448
Published to Oxford Scholarship Online: September 2016 DOI:10.1093/acprof:oso/9780198723448.001.0001


Affiliations are at time of print publication.

Glyn Elwyn, editor
Professor, Dartmouth Institute for Health Care Policy and Clinical Practice, Hanover, NH, USA

Adrian Edwards, editor
Director of the Institute of Primary Care and Public Health, School of Medicine, Cardiff University, UK

Rachel Thompson, editor
Assistant Professor, Dartmouth Institute for Health Care Policy and Clinical Practice, Hanover, NH, USA

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Section 1 Real-world context

Chapter 1 Shared decision making

Glyn Elwyn and Adrian Edwards

Chapter 2 Broad versus narrow shared decision making

Vikki A. Entwistle and Ian S. Watt

Chapter 5 Implementing shared decision making

William A. Nelson, John J. Donnellan, and Glyn Elwyn

Section 2 Practical shared decision making

Chapter 7 Emerging legal issues for providers in the USA

Benjamin W. Moulton and Thaddeus M. Pope

Chapter 8 Preparing patients ahead of time to share decisions about their health care

Natalie Joseph-Williams, Adrian Edwards, and Glyn Elwyn

Chapter 9 Demystifying decision aids

Rachel Thompson and Lyndal Trevena

Section 3 Teaching shared decision making

Chapter 15 Standardized patients as educational interventions

Nan Cochran, Dawn Carey, and Arianna I. Blaine

Chapter 16 Avatars and virtual worlds

Suzanne Mitchell and Jeffrey Ring

Chapter 17 Dispelling myths about the implementation of shared decision making

Alan Nye, Suzanne Brodney, Megan Bowen, and Richard M. Wexler

Section 4 Communicating evidence

Section 5 Evidence reviews

Chapter 21 GRADE

Michael R. Gionfriddo, M. Hassan Murad, Annie LeBlanc, and Victor M. Montori

Chapter 22 The effects of patient decision aids

Dawn Stacey, France Légaré, Karen Eden, Nananda Col, and Annie LeBlanc

Chapter 23 Implementing shared decision making

France Légaré, Isabelle Scholl, Dawn Stacey, and Stéphane Turcotte

Chapter 24 Personalized care planning

Angela Coulter and Vikki Entwistle

Section 6 Measurement

Chapter 26 Patient-reported measures of shared decision making

Paul J. Barr, Isabelle Scholl, and Debra de Silva

Chapter 28 Implementing shared decision making

Paul J. Barr and Marie-Anne Durand

Section 7 Implementation case studies

Chapter 29 Case study

David Arterburn, Emily O. Westbrook, and Clarissa Hsu

Chapter 30 Case study

Amy Lloyd and Natalie Joseph-Williams

Chapter 31 Case study

Alice O. Andrews, Stephen A. Kearing, and Dale C. Vidal

Chapter 32 Case study

Leigh Simmons, Lauren Leavitt, and Karen Sepucha

Chapter 33 Case study

Ming Tai-Seale

Chapter 34 Case study

Claudia Zeballos-Palacios, Annie LeBlanc, Erik P. Hess, Jon Tilburt, Kirk Wyatt, Kasey Boehmer, Maggie Breslin, Megan Branda, and Victor M. Montori

Section 8 The broader picture

Chapter 35 Shared decision making interventions and health inequalities

Marie-Anne Durand, Robert J. Volk, and Glyn Elwyn

Chapter 38 Quality improvement and shared decision making

Christina Gunther-Murphy, Andrea Kabcenell, and Gareth Parry

Chapter 40 Encounter tools

Thomas Agoritsas and Richard Lehman

Section 9 Moving forward

Chapter 42 What can patients and patient groups do to promote shared decision making?

Kristin L. Carman, Thomas A. Workman, and Marla L. Clayman

Chapter 43 What can junior physicians do to help promote shared decision making?

J.W.M. (Annemijn) Aarts, Andrew Carson-Stevens, Barry G. Main, Manish K. Mishra, and Leigh H. Simmons

Chapter 44 What can experienced physicians do to help promote shared decision making?

Alan Nye, Michael J. Barry, Kevin Bozic, Jan Kremer, Sheila Macphail, and Gautham Suresh

End Matter