Exploring the Relationship between Shared Decision-Making, Patient-Centered Medicine, and Evidence-Based Medicine

2021 ◽  
pp. 002436392110183
Author(s):  
Gustavo Páez ◽  
Daniel Neves Forte ◽  
María del Pilar López Gabeiras
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
Shared Decision ◽  
Patient Centered ◽  
Patient’S Autonomy ◽  
Patient Centered Medicine ◽  
Based Medicine ◽  
The Relationship

Shared decision-making is a possible link between the best of patient-centered medicine and evidence-based medicine. This article seeks to describe the link between them. It discusses to what extent the integration of such perspectives is successful in assuring respect for the patient’s autonomy. From the evidence herein, we conclude that if the doctor–patient relationship and communication are strengthened to cover all issues relevant to the patient’s health and values, is it possible for him or her to achieve more autonomous decisions by this linkage of shared decision-making and patient-centered medicine? Summary: Shared decision-making is a possible link between the best of patient-centered medicine and evidence-based medicine. This article seeks to describe the link between them.

scholarly journals What are the links between evidence-based medicine and shared decision-making in training programs for junior doctors? A scoping review protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e037225
Author(s):  
Mary Simons ◽  
Frances Rapport ◽  
Yvonne Zurynski ◽  
Jeremy Cullis ◽  
Andrew Davidson
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Scoping Review ◽  
Evidence Based Medicine ◽  
Cochrane Library ◽  
Junior Doctors ◽  
Evidence Based ◽  
Shared Decision ◽  
Patient Centred Care ◽  
Based Medicine

IntroductionPatient-centred care is pivotal to clinical practice and medical education. The practice of evidence-based medicine (EBM) and shared decision-making (SDM) are complementary aspects of patient-centred care, but they are frequently taught and reported as independent entities. To effectively perform all steps of EBM, clinicians need to include patients in SDM conversations, however, the uptake of this has been slow and inconsistent. A solution may be the incorporation of SDM into EBM training programmes, but such programmes do not routinely include SDM skills development. This scoping review will survey the literature on the kinds of EBM and SDM educational programmes that exist for recently qualified doctors, programmes that incorporate the teaching of both EBM and SDM skills, as well as identifying research gaps in the literature.Methods and analysisLiterature searches will be conducted in the databases Medline, Embase, Scopus and Cochrane Library. Bibliographies of key articles and their citing references will also be hand-searched and assessed for inclusion. Selected grey literature will be included. Papers must be written in English, or provide English abstracts, and date from 1996 to the present day.Two independent reviewers will screen titles and abstracts, check full texts of selected papers for eligibility and extract the data. Any disagreement will be resolved, and consensus reached, if necessary, with the assistance of a third reviewer. Qualitative and quantitative studies that address educational interventions for either EBM, SDM or both will be included. Data extraction tables will present bibliographic information, populations, interventions, context and outcomes. Data will be summarised using tables and figures and a description of findings.Ethics and disseminationThis review will synthesise information from publicly available publications and does not require ethics approval. The results will be disseminated via conference presentations and publications in medical journals.

scholarly journals Applying Evidence-Based Medicine to Shared Decision Making: Value of Restricted MeanSurvival Time

2019 ◽  
Vol 132 (1) ◽  
pp. 13-15 ◽  
Author(s):  
Zachary R. McCaw ◽  
Ariela R. Orkaby ◽  
Lee-Jen Wei ◽  
Dae Hyun Kim ◽  
Michael W. Rich
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
Shared Decision ◽  
Based Medicine

Evidence-Based Medicine in Otolaryngology, Part 8: Shared Decision Making—Impact, Incentives, and Instruments

2018 ◽  
Vol 159 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Allison K. Ikeda ◽  
Paul Hong ◽  
Stacey L. Ishman ◽  
Stephanie A. Joe ◽  
Gregory W. Randolph ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Evidence Based Medicine ◽  
Clinical Decision Making ◽  
Treatment Plan ◽  
Care Utilization ◽  
Evidence Based ◽  
Shared Decision ◽  
Based Medicine ◽  
The Impact

In our previous installment, we introduced shared decision making (SDM) as a collaborative process in which patients, families, and clinicians develop a mutually optimized treatment plan when more than 1 reasonable treatment option exists. In this subsequent installment of our Evidence-Based Medicine in Otolaryngology Series, we expand on the topic of SDM, including the related current state of clinical decision making, the impact of SDM on health care utilization and patient satisfaction, the potential role of system and society changes, the experience with SDM as it relates to race and ethnicity, existing financial incentives, and the validated instruments that assess the extent to which SDM occurs.

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