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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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Shared decision making, health literacy, and patient empowerment

Shared decision making, health literacy, and patient empowerment

Chapter:
(p.234) Chapter 36 Shared decision making, health literacy, and patient empowerment
Source:
Shared Decision Making in Health Care
Author(s):

Marion McAllister

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198723448.003.0036

Shared decision making (SDM), health literacy, and patient empowerment are related, partially overlapping constructs, all associated with patient-centred care. SDM focuses on the communication and deliberation process between provider and patient during a health care encounter that aims to support effective decision making about treatment or health behaviour. Health literacy includes functional, critical, and interactional aspects, including the social skills needed to communicate effectively with health providers, and may be a prerequisite for SDM. Patient empowerment has been described as both a process of becoming empowered, and as a state of being empowered, and may be a valued health care outcome for people with long-term conditions. Patient empowerment can be achieved through patient-centred care, including SDM. However, patients can also empower themselves through participation in patient groups, and by improving their health literacy through self education. Relationships between the constructs may therefore be reciprocal.

Keywords:   Shared decision making, patient empowerment, health literacy, patient-centred care, long-term conditions

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