Missing Ingredients in Shared Decision-Making?
Shared decision-making (SDM) is a collaborative approach to making decisions in health care, and is a cornerstone of person-centered care. While providers are increasingly expected to utilize SDM in routine practice, widespread and sustainable implementation has proven difficult, especially in the care of individuals diagnosed with serious mental illnesses, and physicians and patients continue to identify barriers to effective collaboration. To date, SDM research has largely focused on the provision of high-quality clinical information from doctors to patients to the neglect of what may be the most important, and transformative, aspect of SDM-the relationship itself. In this forum, the lack of attention to the relationship in SDM research and practice will be explored, along with the relational qualities that need to be in place to implement SDM in the care of persons with serious mental illness based on the findings from a mixed-methods, participatory research project.
['Pavlo|Anthony J|AJ|0000-0001-9604-7097', "O'Connell|Maria|M|", 'Olsen|Steve|S|', 'Snyder|Mary K|MK|', 'Davidson|Larry|L|']
D000328:Adult D000080536:Decision Making, Shared D006302:Health Services Research D006801:Humans D001523:Mental Disorders D010358:Patient Participation D010817:Physician-Patient Relations
Shared decision-making Chronic illness care Patient engagement Treatment relationships