Shared decision making is an ethical imperative, but implementation challenges persist: A rejoinder to ‘Concepts of health, ethics, and communication in shared decision making’ by Lauris Kaldjian

Authors

  • Peter Scalia The Dartmouth Institute for Health Policy and Clinical Practice
  • Glyn Elwyn The Dartmouth Institute for Health Policy and Clinical Practice

DOI:

https://doi.org/10.1558/cam.36370

Keywords:

forum discussion, Lauris Kaldjian

Author Biographies

  • Peter Scalia, The Dartmouth Institute for Health Policy and Clinical Practice
    Peter Scalia is a PhD candidate at Radboud University Nijmegen, and research assistant at the Dartmouth Institute for Health Policy and Clinical Practice. His research aims to better understand the impact of web-based decision aids on user knowledge and decisional conflict and preference, and to explore how to best implement these tools in clinical practice.
  • Glyn Elwyn, The Dartmouth Institute for Health Policy and Clinical Practice
    Glyn Elwyn, PhD, is a clinician, researcher, and professor at The Dartmouth Institute for Health Policy and Clinical Practice at Dartmouth College. An international leader in shared decision-making (SDM) research, he currently leads the Preference Laboratory, which aims to develop patient experience measures and examine the implementation of SDM in clinical settings.

References

Barry, M. J. and Edgman-Levitan, S. (2012) Shared decision making: The pinnacle of patient-centered care. New England Journal of Medicine 366 (9): 780–781. https://doi.org/10.1056/NEJMp1109283

Boland, L., McIsaac, D. I. and Lawson, M. L. (2016) Barriers to and facilitators of implementing shared decision making and decision support in a paediatric hospital: A descriptive study. Paediatrics & Child Health 21 (3): e17–e21. https://doi.org/10.1093/pch/21.3.e17

Charles, C., Gafni, A. and Whelan, T. (1999) Decision-making in the physician–patient encounter: Revisiting the shared treatment decision-making model. Social Science & Medicine 49 (5): 651–661. https://doi.org/10.1016/S0277-9536(99)00145-8

Chewning, B., Bylund, C. L., Shah, B., Arora, N. K., Gueguen, J. A. and Makoul, G. (2012) Patient preferences for shared decisions: A systematic review. Patient Education and Counseling 86 (1): 9–18. https://doi.org/10.1016/j.pec.2011.02.004

Clayman, M. L., Gulbrandsen, P. and Morris, M. A. (2017) A patient in the clinic; a person in the world. Why shared decision making needs to center on the person rather than the medical encounter. Patient Education and Counseling 100 (3): 600–604. https://doi.org/10.1016/j.pec.2016.10.016

Drake R. E. and Deegan, P. E. (2009) Shared decision making is an ethical imperative. Psychiatric Services 60 (8): 1007. https://doi.org/10.1176/ps.2009.60.8.1007

Durand, M. A., Yen, R., Barr, P. J., Cochran, N., Aarts, J., Légaré, F., Reed, M., O’Malley, A. J., Scalia, P., Guérard, G. P. and Elwyn, G. (2017) Assessing medical student knowledge and attitudes about shared decision making across the curriculum: Protocol for an international online survey and stakeholder analysis. British Medical Journal Open 7 (6): Art. e015945. https://doi.org/10.1136/bmjopen-2017-015945

Elwyn, G., Frosch, D., Thomson, R., Joseph-Williams, N., Lloyd, A., Kinnersley, P., Cording, E., Tomson, D., Dodd, C., Rollnick, S. and Edwards, A. (2012) Shared decision making: A model for clinical practice. Journal of General Internal Medicine 27 (10): 1361–1367. https://doi.org/10.1007/s11606-012-2077-6

Elwyn, G., Scholl, I., Tietbohl, C., Mann, M., Edwards, A. G., Clay, C., Légaré, F., van der Weijden, T., Lewis, C. L., Wexler, R. M. and Frosch, D. L. (2013) ‘Many miles to go…’: A systematic review of the implementation of patient decision support inter­ventions into routine clinical practice. BMC Medical Informatics and Decision Making 13 (2): Art. S14. https://doi.org/10.1186/1472-6947-13-S2-S14

Gulbrandsen, P., Clayman, M. L., Beach, M. C., Han, P. K., Boss, E. F., Ofstad, E. H. and Elwyn, G. (2016) Shared decision-making as an existential journey: Aiming for restored autonomous capacity. Patient Education and Counseling 99 (9): 1505–1510. https://doi.org/10.1016/j.pec.2016.07.014

Joseph-Williams, N., Lloyd, A., Edwards, A., Stobbart, L., Tomson, D., Macphail, S., Dodd, C., Brain, K., Elwyn, G. and Thomson, R. (2017) Implementing shared decision making in the NHS: Lessons from the MAGIC programme. British Medical Journal 357: Art. j1744. https://doi.org/10.1136/bmj.j1744

Kaldjian, L. C. (2017) Concepts of health, ethics, and communication in shared decision making. Communication & Medicine 14 (1): 83–95. https://doi.org/10.1558/cam.32845

Légaré, F., Ratté, S., Gravel, K. and Graham, I. D. (2008) Barriers and facilitators to implementing shared decision-making in clinical practice: Update of a systematic review of health professionals’ perceptions. Patient Education and Counseling 73 (3): 526–535. https://doi.org/10.1016/j.pec.2008.07.018

Makoul, G. and Clayman, M. L. (2006) An integrative model of shared decision making in medical encounters. Patient Education and Counseling 60 (3): 301–312. https://doi.org/10.1016/j.pec.2005.06.010

Stiggelbout, A. M., Pieterse, A. H. and De Haes, J. C. (2015) Shared decision making: Concepts, evidence, and practice. Patient Education and Counseling 98 (10): 1172–1179. https://doi.org/10.1016/j.pec.2015.06.022

Veatch, R. M. (1972) Models for ethical medicine in a revolutionary age. Hastings Center Report 2 (3): 5–7. https://doi.org/10.2307/3560825

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Published

2018-10-26

Issue

Vol. 14 No. 3 (2017)

Section

Forum Discussion

License

copyright Equinox Publishing Ltd.

How to Cite

Scalia, P., & Elwyn, G. (2018). Shared decision making is an ethical imperative, but implementation challenges persist: A rejoinder to ‘Concepts of health, ethics, and communication in shared decision making’ by Lauris Kaldjian. Communication and Medicine, 14(3), 284-286. https://doi.org/10.1558/cam.36370