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4 - Shared Decision-Making

Published online by Cambridge University Press:  25 March 2024

Joseph F. Goldberg
Affiliation:
Icahn School of Medicine at Mount Sinai, New York
Stephen M. Stahl
Affiliation:
University of California San Diego
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Summary

Thus far we have discussed how clinicians are the primary if not sole evaluators and decision-makers when it comes to devising treatment recommendations. Shared decision-making (SDM) is a not-so-new but increasingly recognized form of patient-centered care in which a patient and their clinician actively collaborate to determine which treatment options are most consistent with the patient’s own values, priorities and goals. As described originally by Charles et al. (1997) and later expanded on by Elwyn et al. (2012), an SDM model first involves introducing choice followed by describing options (sometimes using patient decision-support tools – such as charts, graphs, brochures, interactive websites, or audiovisual materials) followed by helping patients explore their preferences in order to make the best decisions for them. Greater focus is placed on the patient’s own narrative and personal experience as influencing treatment decisions, rather than on general diagnostic issues or outcomes.

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Publisher: Cambridge University Press
Print publication year: 2024

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  • Shared Decision-Making
  • Joseph F. Goldberg, Icahn School of Medicine at Mount Sinai, New York, Stephen M. Stahl, University of California San Diego
  • Book: Clinical Reasoning and Decision-Making in Psychiatry
  • Online publication: 25 March 2024
  • Chapter DOI: https://doi.org/10.1017/9781009181549.006
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Save book to Dropbox

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  • Shared Decision-Making
  • Joseph F. Goldberg, Icahn School of Medicine at Mount Sinai, New York, Stephen M. Stahl, University of California San Diego
  • Book: Clinical Reasoning and Decision-Making in Psychiatry
  • Online publication: 25 March 2024
  • Chapter DOI: https://doi.org/10.1017/9781009181549.006
Available formats
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Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Shared Decision-Making
  • Joseph F. Goldberg, Icahn School of Medicine at Mount Sinai, New York, Stephen M. Stahl, University of California San Diego
  • Book: Clinical Reasoning and Decision-Making in Psychiatry
  • Online publication: 25 March 2024
  • Chapter DOI: https://doi.org/10.1017/9781009181549.006
Available formats
×