Jump to ContentJump to Main Navigation
Shared Decision Making in Health CareAchieving evidence-based patient choice$
Users without a subscription are not able to see the full content.

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

Show Summary Details
Page of

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: 22 October 2021

Implementing shared decision making

Implementing shared decision making

A systematic review

(p.150) Chapter 23 Implementing shared decision making
Shared Decision Making in Health Care

France Légaré

Isabelle Scholl

Dawn Stacey

Stéphane Turcotte

Oxford University Press

Shared decision making (SDM) is not yet a reality in most clinical practices. A recently updated Cochrane review of the effectiveness of interventions to implement SDM in clinical practices found 39 studies. Interventions that targeted both patients and clinicians appeared most promising. For example, two important ways for clinicians and organizations to introduce SDM into clinical practice were to provide clinicians with training in SDM and to provide patients with decision aids. Also, any intervention at all was better than none, but the quality of the evidence was low in the studies. Only five studies had our main outcome of interest as their primary outcome, i.e. improved SDM; mostly, it was a secondary outcome. Most studies were also performed in rich countries, focused on a single disease instead of on the many health conditions that are dealt with in primary care, and only one looked at cost.

Keywords:   Shared decision making, implementation, systematic review, Cochrane, training, decision aids

Oxford Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs , and if you can't find the answer there, please contact us .