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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

Preparing patients ahead of time to share decisions about their health care

Preparing patients ahead of time to share decisions about their health care

(p.43) Chapter 8 Preparing patients ahead of time to share decisions about their health care
Shared Decision Making in Health Care

Natalie Joseph-Williams

Adrian Edwards

Glyn Elwyn

Oxford University Press

By looking at patient reported barriers to shared decision making (SDM), this chapter considers how clinicians and health care providers can best prepare patients to become involved in SDM. There are many methods proposed – these include question prompts that encourage patients to ask questions to clinicians. Some of these propmts are general question, other forms are condition-specific: both types of prompts are being evaluated in further research. Other methods to prepare patients include the provision of knowledge tools such as patient decision aids, either before clinical encounters or within visits. Patients’ attitudes towards the concept of being active participants in health care decision making is a key patient reported barrier. This chapter provides examples of existing interventions that aim to prepare patients for SDM, and considers how future interventions can best prepare patients, based on the key patient reported barriers.

Keywords:   Patient activation, patient barriers, patient engagement, patient involvement, power imbalance, shared decision making

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