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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

Broad versus narrow shared decision making

Broad versus narrow shared decision making

Patients’ involvement in real world contexts

(p.7) Chapter 2 Broad versus narrow shared decision making
Shared Decision Making in Health Care

Vikki A. Entwistle

Ian S. Watt

Oxford University Press

Ideas about ‘patient involvement in decision making’ and ‘shared decision making’ (SDM) have developed significantly in recent years as practices associated with these concepts have been promoted and researched in diverse real world contexts. The scope of interest has broadened in several respects from an early focus on discrete ‘preference sensitive’ treatment decisions in acute care settings and from questions of what information was exchanged and who made the decision. This chapter highlights how contemporary work increasingly regards patient involvement and SDM as relevant for a wide range of decisions and decisional activities, recognizes how decision making can extend across people, places, and times, and considers questions about diverse forms of involvement (including experiences of sharing and relating) as salient. Broader conceptualizations both necessitate and facilitate more careful assessments of the appropriateness (or ethics) of particular forms of patient involvement and SDM in particular situations.

Keywords:   Patient participation, shared decision making (SDM), professional-patient relations, decision making, ethics

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