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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

What can experienced physicians do to help promote shared decision making?

What can experienced physicians do to help promote shared decision making?

(p.289) Chapter 44 What can experienced physicians do to help promote shared decision making?
Shared Decision Making in Health Care

Alan Nye

Michael Barry

Kevin Bozic

Jan Kremer

Sheila Macphail

Gautham Suresh

Oxford University Press

Six experienced clinicians reflect on what they have done, and what others can do to support shared decision making (SDM). The common themes are that they had to stand out and try something different. They challenged themselves to think differently about working with patients. Then, they tried something and tested it, often facing resistance from colleagues, and were prepared to learn by doing. They persevered and won others over to their way of thinking. They were prepared to be role models and show that they held patients’ autonomy central to the care process. These clinicians are pioneers and leaders, and emphasize the following actions: modify colleagues’ attitudes; provide a role model; listen to patients, lead by example; show that SDM is an efficient way to the right decision; set expectations, reward achievement; and provide mentorship. They are also unreasonable people but progress relies on unreasonable people.

Keywords:   Shared decision making, mentoring, leading change, organizational change

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