Shared-decision-making

Shared-decision-making (SDM) is a collaborative process where healthcare providers and patients work together to make healthcare decisions, taking into account the patient's values, preferences, and beliefs alongside the provider's medical expertise and evidence-based recommendations. It involves open communication, mutual respect, and a thorough exchange of information about treatment options, potential benefits and risks, and alternatives, including the option of no treatment. SDM empowers patients to actively participate in their care, leading to improved adherence, satisfaction, and potentially better health outcomes. It moves away from a purely paternalistic model to a more patient-centered approach. The goal is to arrive at a decision that aligns with the patient's individual circumstances and goals. Education, tools like decision aids, and ongoing dialogue are integral to the success of SDM. This collaborative process emphasizes the importance of the patient's role in understanding and managing their own health.

Shared-decision-making meaning with examples

• After a cancer diagnosis, the oncologist and patient engaged in shared-decision-making, carefully reviewing different treatment options, considering the patient's lifestyle and values, and ultimately deciding on a course of action that incorporated both medical recommendations and the patient's personal preferences. The patient felt empowered.
• During a consultation for knee pain, the doctor employed shared-decision-making by explaining both surgical and non-surgical approaches, discussing the pros and cons of each option, and encouraging the patient to express their concerns and priorities, leading to an informed choice that aligned with their activity levels and goals.
• In a mental health setting, the therapist facilitated shared-decision-making when discussing medication options for depression. They reviewed the patient's history, discussed potential side effects, and addressed the patient's questions, fostering a collaborative environment to choose a treatment plan.
• When facing a decision about prostate cancer screening, the primary care physician utilized shared-decision-making, explaining the benefits and risks of PSA testing and digital rectal exams. The patient's family history and personal concerns were weighed, culminating in a personalized screening strategy.
• For a patient contemplating bariatric surgery, shared-decision-making played a crucial role. The surgeon and patient discussed the surgery's long-term effects, the necessary lifestyle changes, and alternative weight loss methods. The patient then weighed the decision to improve their health and wellbeing.