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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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Case study

Case study

The shared decision making story at Group Health

Chapter:
(p.190) Chapter 29 Case study
Source:
Shared Decision Making in Health Care
Author(s):

David Arterburn

Emily O. Westbrook

Clarissa Hsu

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198723448.003.0029

Driven by a combination of organizational leadership and Washington State’s political context, Group Health (GH), a consumer-governed, non profit health system, is committed to integrating patient decision aids (PDAs) and shared decision making (SDM) into routine practice. Since January 2009, GH has distributed over 40,000 video-based PDAs related to elective surgical procedures for 12 preference-sensitive health conditions. Key factors that contributed to the successful distribution of PDAs included strong leadership and provider engagement, financial support, a well-defined implementation and monitoring strategy, and a commitment to ongoing process improvement. Despite the large volume of PDAs distributed, major challenges persist: many patients are still not receiving PDAs, large knowledge gaps exist among patients who receive PDAs, and providers’ SDM skills and behaviours vary greatly and require on-going training and support.

Keywords:   Implementation, health care system, specialty, decision quality, satisfaction, costs, surgery, unwarranted variation, knowledge, barriers

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