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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: 22 October 2021

Case study

Case study

The shared decision making story at Group Health

(p.190) Chapter 29 Case study
Shared Decision Making in Health Care

David Arterburn

Emily O. Westbrook

Clarissa Hsu

Oxford University Press

Driven by a combination of organizational leadership and Washington State’s political context, Group Health (GH), a consumer-governed, non profit health system, is committed to integrating patient decision aids (PDAs) and shared decision making (SDM) into routine practice. Since January 2009, GH has distributed over 40,000 video-based PDAs related to elective surgical procedures for 12 preference-sensitive health conditions. Key factors that contributed to the successful distribution of PDAs included strong leadership and provider engagement, financial support, a well-defined implementation and monitoring strategy, and a commitment to ongoing process improvement. Despite the large volume of PDAs distributed, major challenges persist: many patients are still not receiving PDAs, large knowledge gaps exist among patients who receive PDAs, and providers’ SDM skills and behaviours vary greatly and require on-going training and support.

Keywords:   Implementation, health care system, specialty, decision quality, satisfaction, costs, surgery, unwarranted variation, knowledge, barriers

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