Getting Obligations Right: Autonomy and Shared Decision Making

Shared decision-making and patient autonomy.

In patient-centred care, shared decision-making is advocated as the preferred form of medical decision-making. Shared decision-making is supported with reference to patient autonomy without abandoning the patient or giving up the possibility of influencing how the patient is benefited. It is, however, not transparent how shared decision-making is related to autonomy and, in effect, what support...

Getting (Along) With the Guidelines: Reconciling Patient Autonomy and Quality Improvement Through Shared Decision Making

In past decades, stark differences in practice pattern, cost, and outcomes of care across regions with similar health demographics have prompted calls for reform. As health systems answer the growing call for accountability in the form of quality indices, while responding to increased scrutiny on practice variation in the form of pay for performance (P4P), a rift is widening between the system ...

Assessing Practitioners’ and Patients’ Needs Regarding Shared Decision-Making and Decision Aids

       Background: As part of the process of developing a decision aid for carpal tunnel syndrome (CTS) according to the Ottawa Decision Support Framework, we were interested in the level of ‘decisional conflict’ of hand surgeons and patients with CTS. This study addresses the null hypothesis that there is no difference between surgeon and patient decisional conflict with respect to test and tr...

Shared clinical decision making

ىضرلما تابغرو تاهجو ديدتح ىلإ ةساردلا هذه فدهت :فادهلأا جلاعب صالخا يبطلا رارقلا ذاختا يف مهتكراشم ىدم صوصخب .تابغرلا كلت ديدتح يف ةرثؤلما لماوعلا ةساردو ةيحصلا مهلكاشم ىربكلا ةلئاعلا بط زكارم دحأ يف ةيعطقم ةسارد تيرجأ :ةقيرطلا ةيدوعسلا ةيبرعلا ةكلملما ،ضايرلا ،ةيبطلا زيزعلادبع كللما ةنيدم يف ليلحتلا جذونم مادختسا تمو .م2012 ويام ىلإ سرام نم ةرتفلا يف .ىضرلما تابغر ديدتح يف ةرثؤلما لماوعلا ديدح...

Mastering Shared Decision Making