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Shared Decision Making in Health CareAchieving evidence-based patient choice$
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Glyn Elwyn, Adrian Edwards, and Rachel Thompson

Print publication date: 2016

Print ISBN-13: 9780198723448

Published to Oxford Scholarship Online: September 2016

DOI: 10.1093/acprof:oso/9780198723448.001.0001

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Patient-reported measures of shared decision making

Patient-reported measures of shared decision making

Chapter:
(p.168) Chapter 26 Patient-reported measures of shared decision making
Source:
Shared Decision Making in Health Care
Author(s):

Paul J. Barr

Isabelle Scholl

Debra de Silva

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198723448.003.0026

‘Patient-reported measures’ collect information about service users’ experiences of health care, including their experiences of decision making processes. Patients are well placed to say whether they have been appropriately involved in decisions. The patient voice is usually sought using surveys, although other options are available. There is no universally accepted measure of shared decision making (SDM). We describe 23 measures, some of which focus on decision influences, others the decision process, and others on decision outcomes. When selecting appropriate measures, clinicians, managers, and researchers should consider whether the tool is short and practical; whether the questions are valid, reliable, and designed with input from patients; and which components of SDM are measured and how the information can be used for improvement. Organizations can do many simple things to use these tools routinely as part of a balanced scorecard measuring quality, alongside clinical indicators and measures from professionals and other stakeholders.

Keywords:   Patient-reported outcomes, patient-reported measurement, measurement, survey, shared decision making, person-centred care, patient engagement

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