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Is Shared Decision Making a Utopian Dream or an Achievable Goal?

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  • Louisa Blair
  • France Légaré

Abstract

The idea of shared decision making (SDM) between patient and physician grew out of a generalized challenge to traditional social hierarchies that occurred in the middle of the last century. Governments have espoused SDM, thousands of articles about it have been published, and evidence has shown that it improves some of the healthcare processes as well as patient outcomes. Yet it has not been widely adopted. From their cross-disciplinary perspective (practical theology and clinical medicine), the authors locate this reluctance in the unfolding of scientific paradigm shifts, summarize the perceived risks and benefits of SDM and the evidence for each, and suggest practical, achievable approaches for clinicians. Finally, they explore some important emerging territories for SDM. Copyright Springer International Publishing Switzerland 2015

Suggested Citation

  • Louisa Blair & France Légaré, 2015. "Is Shared Decision Making a Utopian Dream or an Achievable Goal?," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 8(6), pages 471-476, December.
    • Handle: RePEc:spr:patien:v:8:y:2015:i:6:p:471-476
    DOI: 10.1007/s40271-015-0117-0
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    References listed on IDEAS

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    1. F. Légaré & M. Politi & S. Desroches & D. Stacey & H. Bekker & Nora Moumjid, 2012. "Training health professionals in shared decision-making: An international environmental scan," Post-Print halshs-00764593, HAL.
    2. Valerie J. King & Melinda M. Davis & Paul N. Gorman & J. Bruin Rugge & L. J. Fagnan, 2012. "Perceptions of Shared Decision Making and Decision Aids Among Rural Primary Care Clinicians," Medical Decision Making, , vol. 32(4), pages 636-644, July.
    3. Marie-Anne Durand & Lewis Carpenter & Hayley Dolan & Paulina Bravo & Mala Mann & Frances Bunn & Glyn Elwyn, 2014. "Do Interventions Designed to Support Shared Decision-Making Reduce Health Inequalities? A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-13, April.
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    Cited by:

    1. Roseann Velez & Elizabeth Sloand, 2016. "Combating antibiotic resistance, mitigating future threats and ongoing initiatives," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(13-14), pages 1886-1889, July.

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