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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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Implementing shared decision making

Implementing shared decision making

The role of incentives

Chapter:
(p.182) Chapter 28 Implementing shared decision making
Source:
Shared Decision Making in Health Care
Author(s):

Paul J. Barr

Marie-Anne Durand

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198723448.003.0028

In the USA, shared decision making (SDM) has become a high profile health policy goal since its inclusion in the Patient Protection and Affordable Care Act (ACA). Incentivizing clinician performance has been suggested as a means of promoting SDM uptake. After reviewing recent documents discussing the ACA, incentives, and SDM, we identified some common themes: (1) there was consensus around the definition of both SDM and patient decision aids, (2) there was no agreement regarding the best way to measure SDM; also the volume of patient decision aids was mentioned as a means of measurement, despite this being a poor proxy of SDM activity, (3) there was no agreement and a lack of detail regarding the type of incentive to use. Further refinement of incentive strategies are required if this approach is to be successful. In addition, the ethics of this approach warrants further consideration.

Keywords:   Incentives, Patient Protection and Affordable Care Act, decision did, patient-reported outcomes, patient-reported measurement, measurement, shared decision making, person-centred care, patient engagement

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