As the paradigm in healthcare nowadays is the evidence-based, patient-centered decision making, the issue of shared decision making (SDM) is highlighted. The aims of this manuscript were to look at the relevant concepts and suggest the facilitating strategies for overcoming barriers of conducting SDM. While the definitions of SDM were discordant, several concepts such as good communication, individual autonomy, patient participants, and patient-centered decision-making were involved. Further, the facilitating strategies of SDM were to educate and train physician, to apply clinical practice guidelines and patient decision aids, to develop valid measurement tools for evaluation of SDM processes, and to investigate the impact of SDM.
Summary
Korean summary
오늘날 보건의료가 지향하는 목표가 근거에 기반한 환자중심의 의사결정 (Evidence-based Patient-centered Decision Making)인 점에서, 공유된 의사결정 (Shared Decision Making, SDM)의 중요성이 강조되고 있다. 본 원고는 SDM의 관련 개념들을 정리하고, 진료에 적용하는 과정에서의 한계점들과 이를 극복하기 위한 방안들을 살펴보았다.
Citations
Citations to this article as recorded by
Paroxysmal nocturnal hemoglobinuria: Review of the patient experience and treatment landscape Anem Waheed, Jamile Shammo, David Dingli Blood Reviews.2024; 64: 101158. CrossRef
The Effects of Patient Preference on Clinical Outcome, Satisfaction and Adherence Within the Treatment of Anxiety and Depression: A Meta‐Analysis Eline Eigenhuis, Vanessa E. M. van Buuren, Rosa E. Boeschoten, Anna D. T. Muntingh, Neeltje M. Batelaan, Patricia van Oppen Clinical Psychology & Psychotherapy.2024;[Epub] CrossRef
Cardiovascular Complications During Delivery Admissions Associated With Assisted Reproductive Technology (from a National Inpatient Sample Analysis 2008 to 2019) Salman Zahid, Anas Hashem, Anum S. Minhas, Colleen M. Harrington, Odayme Quesada, Niti R. Aggarwal, Chrisandra L. Shufelt, Valerie L. Baker, Erin D. Michos The American Journal of Cardiology.2023; 186: 126. CrossRef
Assessing the impact of patient-involvement healthcare strategies on patients, providers, and the healthcare system: A systematic review Thomas Miller, Markus Reihlen Patient Education and Counseling.2023; 110: 107652. CrossRef
Patients’ and healthcare professionals’ perceived facilitators and barriers for shared decision-making for frail and elderly patients in perioperative care: a scoping review Amyn Vogel, Camille Guinemer, Daniel Fürstenau BMC Health Services Research.2023;[Epub] CrossRef
Addressing Antimicrobial Stewardship in Primary Care—Developing Patient Information Sheets Using Co-Design Methodology Ruby Biezen, Stephen Ciavarella, Jo-Anne Manski-Nankervis, Tim Monaghan, Kirsty Buising Antibiotics.2023; 12(3): 458. CrossRef
Preferred Conversation Topics with Respect to Treatment Decisions Among Individuals with Type 2 Diabetes Anna Tichler, Dorijn FL Hertroijs, Dirk Ruwaard, Martijn CGJ Brouwers, Mickaël Hiligsmann, Judith D de Jong, Arianne Elissen Patient Preference and Adherence.2023; Volume 17: 719. CrossRef
Electronic patient portal activation and outcomes among pediatric patients with asthma Dariush Kafashzadeh, Kaitlin Hall, Cenan Pirani, Peter G. Szilagyi, Lucia Chen, Mindy K. Ross The Journal of Allergy and Clinical Immunology: In Practice.2023; 11(6): 1950. CrossRef
Differences in minimal disease knowledge of keratoconus patients: results from an international survey Philipp B Baenninger, Vito Romano, Francisco C Figueiredo, Sayali P Pradhan, Vishal Vohra, Bennie H Jeng, Katja C Iselin, Conor C Murphy, Claude Kaufmann, Michael A Thiel, Lucas M Bachmann BMJ Open Ophthalmology.2023; 8(1): e001164. CrossRef
Shared decision making among hypertensive clients in public hospitals of West Shoa, central Ethiopia, 2020: Institution based cross sectional study Desalegn Emana, Mulu Kitaba, Firaol Regea, Shalama Lekasa Heliyon.2023; 9(6): e16786. CrossRef
Development and preliminary usability testing of an electronic conversation guide incorporating patient values and prognostic information in preparation for older people's decision-making near the end of life Magnolia Cardona, Ebony T. Lewis, Alex Bannach-Brown, Genevieve Ip, Janice Tan, Eyza Koreshe, Joshua Head, Jin Jie Lee, Shirley Rangel, Lorraine Bublitz, Connor Forbes, Amanda Murray, Isabella Marechal-Ross, Nikita Bathla, Ruth Kusnadi, Peter G. Brown, Ha Internet Interventions.2023; 33: 100643. CrossRef
Investigating Medical Students’ Navigation of Ethical Dilemmas: Understanding the Breakdown and How to Solve It Adam J. Wesevich, Lauren E. Gulbas, Hilary F. Ryder AJOB Empirical Bioethics.2023; 14(4): 227. CrossRef
Shared Decision-Making in Allergen Immunotherapy (AIT) Options Using a Questionnaire for Respiratory Allergic Patients: A Delphi Consensus Study Mónica Antón, Nieves Cabañes, Salvador Fernández-Meléndez, Mar Fernández-Nieto, Gloria Jiménez-Ferrera, Antonio Letrán, Paula Méndez-Brea, Javier Montoro, Francisco Moreno, Pilar Mur-Gimeno, Virginia Rodríguez-Vázquez, Ana Rosado, Inmaculada Sánchez-Guerr Patient Preference and Adherence.2023; Volume 17: 1771. CrossRef
Factors influencing shared decision-making in long-term care facilities Da Eun Kim, Min Jung Kim BMC Geriatrics.2023;[Epub] CrossRef
A Useful and Sustainable Role for N‐of‐1 Trials in the Healthcare Ecosystem Harry P. Selker, Theodora Cohen, Ralph B. D’Agostino, Willard H. Dere, S. Nassir Ghaemi, Peter K. Honig, Kenneth I. Kaitin, Heather C. Kaplan, Richard L. Kravitz, Kay Larholt, Newell E. McElwee, Kenneth A. Oye, Marisha E. Palm, Eleanor Perfetto, Chandra R Clinical Pharmacology & Therapeutics.2022; 112(2): 224. CrossRef
Shared Decision-Making for a Dialysis Modality Xueqing Yu, Masaaki Nakayama, Mai-Szu Wu, Yong-Lim Kim, Lily Mushahar, Cheuk Chun Szeto, Dori Schatell, Fredric O. Finkelstein, Robert R. Quinn, Michelle Duddington Kidney International Reports.2022; 7(1): 15. CrossRef
Oral health problems linked to obstructive sleep apnea are not always recognized within dental care—As described by dental professionals Kristina Berggren, Anders Broström, Allen Firestone, Bridget Wright, Eva Josefsson, Ulrika Lindmark Clinical and Experimental Dental Research.2022; 8(1): 84. CrossRef
Health professionals’ perspectives on shared decision-making in secondary mental healthcare: a qualitative study Chiu-Yi Lin, Laoise Renwick, Karina Lovell Journal of Mental Health.2022; 31(5): 709. CrossRef
Applying Theory of Planned Behavior to Understand Physicians’ Shared Decision-Making With Patients With Acute Respiratory Infections in Primary Care: A Cross-Sectional Study Dan Wang, Xinping Zhang, Haihong Chen, Chenxi Liu Frontiers in Pharmacology.2022;[Epub] CrossRef
Shared decision making in primary care: Process evaluation of the intervention in the OPTIMAL study, a cluster randomised trial Henk Den Ouden, Rimke C. Vos, Arwen H. Pieterse, Guy E.H.M. Rutten Primary Care Diabetes.2022; 16(3): 375. CrossRef
Social Determinants and Self-Care for Making Good Treatment Decisions and Treatment Participation in Older Adults: A Cross-Sectional Survey Study Udoka Okpalauwaekwe, Chih-Ying Li, Huey-Ming Tzeng Nursing Reports.2022; 12(1): 198. CrossRef
Global Guidelines in Dermatology Mapping Project (GUIDEMAP), a systematic review of atopic dermatitis clinical practice guidelines: are they clear, unbiased, trustworthy and evidence based (CUTE)?* Bernd W.M. Arents, Esther J. van Zuuren, Sofieke Vermeulen, Jan W. Schoones, Zbys Fedorowicz British Journal of Dermatology.2022; 186(5): 792. CrossRef
Moving shared decision-making forward in Iran Samira Abbasgholizadeh-Rahimi, Nam Nguyen, Mahasti Alizadeh, Dan Poenaru Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen.2022; 171: 62. CrossRef
Health facility practices and patterns of prescription influencing health-seeking behaviour among caregivers of children diagnosed with pneumonia in Endebess Sub-county, Kenya Everlyne N. Opuba, Patrick O. Onyango Journal of Global Health Reports.2022;[Epub] CrossRef
Adverse Effects of Angiotensin-Converting Enzyme Inhibitors in Humans: A Systematic Review and Meta-Analysis of 378 Randomized Controlled Trials Mingkwan Na Takuathung, Wannachai Sakuludomkan, Rapheephorn Khatsri, Nahathai Dukaew, Napatsorn Kraivisitkul, Balqis Ahmadmusa, Chollada Mahakkanukrauh, Kachathip Wangthaweesap, Jirakit Onin, Salin Srichai, Nida Buawangpong, Nut Koonrungsesomboon International Journal of Environmental Research and Public Health.2022; 19(14): 8373. CrossRef
How does patient engagement work in a real-world setting? Recommendations, caveats, and challenges from a psychosocial perspective Guendalina Graffigna, Serena Barello Patient Education and Counseling.2022; 105(12): 3567. CrossRef
A qualitative emancipatory inquiry into relationships between people with mental disorders and health professionals Concepción Martínez‐Martínez, Vanessa Sánchez‐Martínez, Javier Ballester‐Martínez, Miguel Richart‐Martínez, Juan Diego Ramos‐Pichardo Journal of Psychiatric and Mental Health Nursing.2021; 28(4): 721. CrossRef
Even High-Quality CPGs Seldom Include Implementation Strategies Luciana Pereira de Vasconcelos, Daniela Oliveira De Melo, Airton Tetelbom Stein, Heráclito Barbosa de Carvalho Frontiers in Pharmacology.2021;[Epub] CrossRef
Association between Health Literacy, Patient Activation, and Functional Capacity in Individuals with Rheumatoid Arthritis Isabela V. Oliveira, Mariana M. G. do Nascimento, Adriana M. Kakehasi, Carina de Morais Neves, Hagabo M. Silva, Thuane S. Gonçalves, Raquel de Moura Aredes, Djenane R. de Oliveira The Open Rheumatology Journal.2021; 15(1): 1. CrossRef
Do Patients With Keratoconus Have Minimal Disease Knowledge? Philipp B. Baenninger, Lucas M. Bachmann, Markus Ritzmann, Frank Blaser, Zisis Gatzioufas, Marco Alder, Armin Handzic, Katja Iselin, Claude Kaufmann, Michael A. Thiel Cornea.2021; 40(5): 624. CrossRef
The Impact of Dementia on Cancer Treatment Decision-Making, Cancer Treatment, and Mortality: A Mixed Studies Review Yaelin Caba, Kavita Dharmarajan, Christina Gillezeau, Katherine A Ornstein, Madhu Mazumdar, Naomi Alpert, Rebecca M Schwartz, Emanuela Taioli, Bian Liu JNCI Cancer Spectrum.2021;[Epub] CrossRef
Mismatch of corneal specialists’ expectations and keratoconus knowledge in general ophthalmologists - a prospective observational study in Switzerland Philipp B. Baenninger, Lucas M. Bachmann, Katja C. Iselin, Oliver A. Pfaeffli, Claude Kaufmann, Michael A. Thiel, Gerd Gigerenzer BMC Medical Education.2021;[Epub] CrossRef
The Envirome Web Service: Patient context at the point of care N.J. Kane, X. Wang, M.M. Gerkovich, M. Breitkreutz, B. Rivera, H. Kunchithapatham, M.A. Hoffman Journal of Biomedical Informatics.2021; 119: 103817. CrossRef
Beyond-Mild Psoriasis: A Consensus Statement on Calcipotriol and Betamethasone Dipropionate Foam for the Topical Treatment of Adult Patients Roland Aschoff, Anthony Bewley, Annunziata Dattola, Clara De Simone, Mourad Lahfa, Mar Llamas-Velasco, Antonio Martorell, Mira Pavlovic, Michael Sticherling Dermatology and Therapy.2021; 11(5): 1791. CrossRef
The social construction of the patient-physician relationship in the clinical encounter: Media frames on shared decision making in Germany Amyn Vogel, Felix Balzer, Daniel Fürstenau Social Science & Medicine.2021; 289: 114420. CrossRef
Awareness of Doctors’ Shared Decision-Making in Life-Sustaining Care Decisions Dalyong Kim, Hyun Jung Lee, Soo-Young Yu, Jung Hye Kwon, Hee Kyung Ahn, Jee Hyun Kim, Seyoung Seo, Chi Hoon Maeng, Seungtaek Lim, Do Yeun Kim, Sung Joon Shin The Korean Journal of Hospice and Palliative Care.2021; 24(4): 204. CrossRef
Treatment Adherence among Tuberculosis patients: A Concept Analysis Kristina Lisum, Agung Waluyo, Astuti Yuni Nursasi Open Access Macedonian Journal of Medical Sciences.2021; 9(T5): 20. CrossRef
Assessment of medical students’ shared decision-making skills in simulated physician-patient encounters Alexander Waschwill, Anja Bittner, Sigrid Harendza Patient Education and Counseling.2020; 103(3): 500. CrossRef
Overview of the main challenges in shared decision making in a multicultural and diverse society in the intensive and critical care setting Enrico Giuliani, Gabriele Melegari, Francesca Carrieri, Alberto Barbieri Journal of Evaluation in Clinical Practice.2020; 26(2): 520. CrossRef
Improving shared decision-making in advance care planning: Implementation of a cluster randomized staff intervention in dementia care Bart Goossens, Aline Sevenants, Anja Declercq, Chantal Van Audenhove Patient Education and Counseling.2020; 103(4): 839. CrossRef
Implementing a shared decision‐making and cognitive strategy‐based intervention: Knowledge user perspectives and recommendations Kay‐Ann M. Allen, Katherine R. Dittmann, Jennifer A. Hutter, Catherine Chuang, Michelle L. Donald, Amie L. Enns, Nina Hovanec, Anne W. Hunt, Richard S. Kellowan, Elizabeth A. Linkewich, Alexandra S. Patel, Anisha Rehmtulla, Sara E. McEwen Journal of Evaluation in Clinical Practice.2020; 26(2): 575. CrossRef
Physiotherapists deliver management broadly consistent with recommended practice in rotator cuff tendinopathy: An observational study A. Smythe, J. White, C. Littlewood, J. Bury, T. Haines, P. Malliaras Musculoskeletal Science and Practice.2020; 47: 102132. CrossRef
Enhanced Youden's index with net benefit: A feasible approach for optimal‐threshold determination in shared decision making Senlin Lin, Yingyan Ma, Haidong Zou Journal of Evaluation in Clinical Practice.2020; 26(2): 551. CrossRef
Cultural adaptation of a patient decision-aid for insulin therapy Ngiap Chuan Tan, Agnes Koong Ying Leng, Ian Phoon Kwong Yun, Sinead Wang Zhen, Muthulakshmi Paulpandi, Yew Kong Lee, John Furler, Josip Car, Chirk Jenn Ng BMJ Open.2020; 10(3): e033791. CrossRef
The provision of epidural analgesia during labor according to maternal birthplace: a Norwegian register study Åsa Henning Waldum, Anne Flem Jacobsen, Mirjam Lukasse, Anne Cathrine Staff, Ragnhild Sørum Falk, Siri Vangen, Ingvil Krarup Sørbye BMC Pregnancy and Childbirth.2020;[Epub] CrossRef
What Oncologists Should Know About Treating Sexual and Gender Minority Patients With Cancer Gwendolyn P. Quinn, Ash B. Alpert, Megan Sutter, Matthew B. Schabath JCO Oncology Practice.2020; 16(6): 309. CrossRef
Exercise Is Medicine? The Cardiorespiratory Implications of Ultra-marathon Nicholas B. Tiller, Glenn M. Stewart, Camilla R. Illidi, Benjamin D. Levine Current Sports Medicine Reports.2020; 19(8): 290. CrossRef
The OPTION Scale: Measuring Patients’ Perceptions of Shared Decision-Making in the Kingdom of Saudi Arabia
Sumaiah Alrawiai, Afnan Aljaffary, Saja Al-Rayes, Arwa Alumran, Mishael Alhuseini, Bayan Hariri Journal of Multidisciplinary Healthcare.2020; Volume 13: 1337. CrossRef
Therapeutic Patient Education in the practice of physicians at the Geneva University Hospitals: a qualitative analysis of representative situations and skills Jorge César Correia, Aline Lasserre Moutet, Isabelle Fristalon, Grégoire Lagger, Alain Golay, Olivia Braillard Education Thérapeutique du Patient - Therapeutic Patient Education.2020; 12(2): 20202. CrossRef
Clinical Pearls for Managing Hidradenitis Suppurativa Patients of Low Socioeconomic Status Shanice A. McKenzie, Hadar A. Lev-Tov, Vivian Y. Shi, Jennifer L. Hsiao Dermatology.2020; 236(5): 439. CrossRef
Patients’ and Caregivers’ Conceptualisations of Pressure Ulcers and the Process of Decision-Making in the Context of Home Care Francisco José García-Sánchez, Vicente Martínez-Vizcaíno, Beatriz Rodríguez-Martín International Journal of Environmental Research and Public Health.2019; 16(15): 2719. CrossRef
Opportunities for addressing gaps in primary care shared decision-making with technology: a mixed-methods needs assessment Anjali J Misra, Shawn Y Ong, Arjun Gokhale, Sameer Khan, Edward R Melnick JAMIA Open.2019; 2(4): 447. CrossRef
Ethical, pedagogical, socio-political and anthropological implications of quaternary prevention Marc Jamoulle, Michel Roland, Jong-Myon Bae, Bruno Heleno, Giorgio Visentin, Gustavo Diniz Ferreira Gusso, Maciek Godycki-Ćwirko, Miguel Pizzanell, Patrick Ouvrard, Ricardo La Valle, Luis Filipe Gomes, Daniel Widmer, Jorge Bernstein, Mariana Mariño, Hamil Revista Brasileira de Medicina de Família e Comunidade.2018; 13(40): 1. CrossRef
Evidence-based public health (EBPH) is defined as public health decision-making based on current best evidence. Debates about the latent tuberculosis infection control program suggested by the Korea Centers for Disease Control and Prevention in 2017 highlight the need to promote EBPH. Three strategies have been proposed, including providing necessary evidence by evaluating policy-evidence gaps; delivering high-quality, relevant, and timely evidence by conducting systematic reviews and adapting public health guidelines; and making value-driven decisions by training and educating public health policymakers.
Summary
Korean summary
근거중심 공중보건 (EBPH)는 공중보건영역에서 최신과 최선의 근거에 기반하여 의사결정을 하는 것이다. EBPH를 활성화하기 위해서는 정책-근거 간의 간극을 알아내고, 체계적 고찰을 통한 공중보건지침을 개발하며, 의사결정참여자의 역량을 높이기 위한 교육훈련을 추진하는 것이다.
Citations
Citations to this article as recorded by
Comparative efficacy on outcomes of C-CABG, OPCAB, and ONBEAT in coronary heart disease: a systematic review and network meta-analysis of randomized controlled trials Lin Zhu, Dongjie Li, Xu Zhang, Sitong Wan, Yuyong Liu, HongJia Zhang, Junjie Luo, Yongting Luo, Peng An, Wenjian Jiang International Journal of Surgery.2023; 109(12): 4263. CrossRef
Ethical, pedagogical, socio-political and anthropological implications of quaternary prevention Marc Jamoulle, Michel Roland, Jong-Myon Bae, Bruno Heleno, Giorgio Visentin, Gustavo Diniz Ferreira Gusso, Maciek Godycki-Ćwirko, Miguel Pizzanell, Patrick Ouvrard, Ricardo La Valle, Luis Filipe Gomes, Daniel Widmer, Jorge Bernstein, Mariana Mariño, Hamil Revista Brasileira de Medicina de Família e Comunidade.2018; 13(40): 1. CrossRef
Network meta-analysis: application and practice using Stata Sungryul Shim, Byung-Ho Yoon, In-Soo Shin, Jong-Myon Bae Epidemiology and Health.2017; 39: e2017047. CrossRef