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Shared Decision Making in Health CareAchieving evidence-based patient choice$
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Glyn Elwyn, Adrian Edwards, and Rachel Thompson

Print publication date: 2016

Print ISBN-13: 9780198723448

Published to Oxford Scholarship Online: September 2016

DOI: 10.1093/acprof:oso/9780198723448.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 19 October 2021

Shared decision making

Shared decision making

A path to customized rather than commercialized health care

(p.2) Chapter 1 Shared decision making
Shared Decision Making in Health Care

Glyn Elwyn

Adrian Edwards

Oxford University Press

This chapter reflects on arguments supporting achievement of shared decision making (SDM). Policy support for SDM has been evident in many countries and research by many groups has investigated the impact of information-rich patient-facing tools. We observe, however, that many chapters in this book deal with the challenges of implementation, recognizing that when empirical data about daily practice are examined, there is evidence that typical practice is far from the ideal described in SDM models. We outline the topics covered in the book and consider the next steps needed before change will occur. Given the powerful business forces that have shaped the delivery of medicine to become commodified, we examine what steps might be needed to re-orientate this system to focus more on customized value to individuals, to move away from an emphasis on volume to a system that uses the well-informed desires of individuals as its measure of value.

Keywords:   Patient participation, shared decision making (SDM), decision making, Three Talk Model, patient decision aids

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