• Online Features  This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (12)  • Contact me when this article is cited  Related Content  • Related articles  • Similar articles in this journal  Topic Collections  • Patient-Physician Communication  • Primary Care/ Family Medicine  • Alert me on articles by topic  Social Bookmarking   What's this?

Have We Missed the Obvious?

Janice L. Hanson, PhD

Arch Intern Med. 2008;168(13):1368-1370.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A decade ago, we saw little in the medical literature about shared decision making, but that has changed. The last several years have brought a proliferation of literature about shared decision making, participatory decision making, decision aids, and related topics. A recent PubMed search for "shared decision making" resulted in 1891 articles. Although we may be tempted to think that we know all that we need to know about it, the article in this issue of the Archives by Young et al¹ adds a twist to the thinking about this somewhat unsettling topic. These researchers not only found that the physicians in their study engaged in very little shared decision making—as many other researchers have also documented^2-7—they also found that a very minor action by patients stimulated a little more sharing of decisions on the part of physicians. This suggests that both parties influence one . . . [Full Text of this Article]

MYTH 1: EVERYONE KNOWS WHAT SHARED DECISION MAKING IS


MYTH 2: THERE IS ONLY 1 APPROACH TO SHARED DECISION MAKING

MYTH 3: PHYSICIANS ALONE DRIVE SHARED DECISION MAKING

MYTH 4: MOST PHYSICIANS ENGAGE IN SHARED DECISION MAKING—AT LEAST, THEY WOULD IF THEY HAD TIME

MYTH 5: PHYSICIANS DO NOT HAVE TIME FOR SHARED DECISION MAKING

MYTH 6: MOST PATIENTS WOULD RATHER THE PHYSICIAN TELL THEM WHAT TO DO

MYTH 7: PATIENTS WHO DO NOT WANT SHARED DECISION MAKING WANT THEIR PHYSICIANS TO DECIDE FOR THEM

MYTH 8: SHARED DECISION MAKING, INFORMED DECISION MAKING, AND PARTICIPATORY DECISION MAKING ARE THE SAME THING

AREAS OF INQUIRY

AUTHOR INFORMATION


CiteULike    Connotea    Delicious    Digg    Facebook    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLES

Relationship, Communication, and Efficiency in the Medical Encounter: Creating a Clinical Model From a Literature Review
Larry B. Mauksch, David C. Dugdale, Sherry Dodson, and Ronald Epstein
Arch Intern Med. 2008;168(13):1387-1395.
ABSTRACT | FULL TEXT  

Physicians' Shared Decision-Making Behaviors in Depression Care
Henry N. Young, Robert A. Bell, Ronald M. Epstein, Mitchell D. Feldman, and Richard L. Kravitz
Arch Intern Med. 2008;168(13):1404-1408.
ABSTRACT | FULL TEXT  

Hidden in Plain Sight: Medical Visit Companions as a Resource for Vulnerable Older Adults
Jennifer L. Wolff and Debra L. Roter
Arch Intern Med. 2008;168(13):1409-1415.
ABSTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

On Patient Autonomy and Physician Responsibility in End-of-Life Care
Billings and Krakauer
Arch Intern Med 2011;171:849-853.
ABSTRACT | FULL TEXT  

Statistical Numeracy for Health: A Cross-cultural Comparison With Probabilistic National Samples
Galesic and Garcia-Retamero
Arch Intern Med 2010;170:462-468.
ABSTRACT | FULL TEXT  

Home Care for the Elderly
Fuhrman
Nutr Clin Pract 2009;24:196-205.
ABSTRACT | FULL TEXT