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, 2020. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 25 November 2020

Overcoming implementation challenges to advance shared decision making in routine practice

Overcoming implementation challenges to advance shared decision making in routine practice

Chapter:
(p.19) Chapter 4 Overcoming implementation challenges to advance shared decision making in routine practice
Source:
Shared Decision Making in Health Care
Author(s):

Dominick L. Frosch

Caroline Tietbohl

Isabelle Scholl

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198723448.003.0004

Scholarship on shared decision making (SDM) has grown significantly in recent decades, reflecting an increasingly mature field. However, implementation of SDM in routine practice continues to lag and evidence-based recommendations about how to overcome barriers remain sparse. A key issue is the failure to recognize that implementing SDM is an adaptive problem requiring culture change to achieve success. Efforts to implement SDM will be more likely to succeed if they take a comprehensive approach, attending to factors that stand in the way at multiple levels. These include individual and team level ingredients as well as the use of routine measurements of SDM to create feedback loops and accountability. Nevertheless, implementing change will be messy and non-linear, raising challenges for those desiring rigorous evaluations using experimental research designs.

Keywords:   Shared decision making, implementation, adaptive problems, culture change, inter-professional teams, measurement

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 .