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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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The three talk model of shared decision making

The three talk model of shared decision making

(p.78) Chapter 13 The three talk model of shared decision making
Shared Decision Making in Health Care

Glyn Elwyn

Oxford University Press

In this chapter, three key steps of shared decision making (SDM) for clinical practice are described, namely: team talk, option talk and decision talk, where the clinician supports deliberation throughout the process. Team talk refers to the step of making sure that patients know that they will not be abandoned to face tough decisions alone; that the clinician is prepared to support, even guide if asked, the process of arriving at what seems like the best decision given inherent and inevitable uncertainties. Option talk refers to providing more detailed information about options. Decision talk refers to supporting the work of considering preferences and deciding what is best. These three different types of talk are best used for teaching. They are based on a more detailed collaborative deliberation model, described elsewhere.

Keywords:   Three talk model, shared decision making, team talk, option talk, decision talk, risk communication, collaborative deliberation

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