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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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Embracing patient and family engagement to advance shared decision making

Embracing patient and family engagement to advance shared decision making

Chapter:
(p.13) Chapter 3 Embracing patient and family engagement to advance shared decision making
Source:
Shared Decision Making in Health Care
Author(s):

Dominick L. Frosch

Kristin L. Carman

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198723448.003.0003

Recent years have witnessed a growing discussion of the concept of patient and family engagement. This chapter explores the relationship between this concept, patient-centred care, and shared decision making (SDM). Each concept has at its core the notion of partnership between patients, families, and health professionals. Patient and family engagement and patient-centred care describe complementary and overlapping concepts, both of which also encompass SDM. However, patient and family engagement goes further by also encompassing partnership in organizational design and governance and policymaking. These ideas describe organizational-level responses which we think are required if progress is to be achieved. It is insufficient for organizations to write mission statements that mention patient centered care without at the same time evaluating the care that their providers are delivery, from the perspective of patients and their carers. Embracing this wider concept of patient engagement could help advance a broader implementation of SDM.

Keywords:   Patient engagement, family engagement, patient-centred care, implementation, system redesign

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