Shared decision making : a win-win situation for both patients and physicians

Abstract

"Shared decision making (SDM) is a bidirectional, interactive approach that provides a structured pathway for physicians to collaborate with patients to arrive at healthcare decisions based on their goals, preferences, and values.1 In many clinical situations, the decision-making process is not always straightforward, as there are multiple reasonable options from which to choose. Even for experienced clinicians, determining the most appropriate medical or surgical treatment to optimize outcomes can be complex. The traditional approach of decision making is unidirectional, in which the clinician makes the final decision and presents it to the patient. Even if patients are well-informed, their involvement may be limited to providing consent, which may or may not necessarily involve adhering to the recommendations. Most patients prefer active involvement in their medical decision making. Indeed, many patients perceive that physicians make the decisions more often than they prefer.1 By collaborating with patients to analyze the potential benefits, risks, alternatives, and outcomes, physicians can empower patients to make evidence- based and value-congruent medical decisions."--Introduction.