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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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Quality improvement and shared decision making

Quality improvement and shared decision making

How can shared decision making fit into quality improvement efforts?

Chapter:
(p.246) Chapter 38 Quality improvement and shared decision making
Source:
Shared Decision Making in Health Care
Author(s):

Christina Gunther-Murphy

Andrea Kabcenell

Gareth Parry

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198723448.003.0038

Both shared decision making (SDM) and quality improvement are intended to put the patient at the centre of health care and improve the outcomes that matter to them. Shared decisions help health care systems shift from a default one-size-fits-all approach to a focus on individualized interactions between patients and clinicians that co-produce evidence-informed health plans. These plans should account for the wishes, values, and circumstances of individual patients. Quality improvement offers an approach for adapting evidence and best practices to local organizational contexts. This approach can be extended to individual patients. This chapter describes the basics of improvement and provides examples of how quality improvement has been used to advance SDM at an organizational/provider and individual/patient level.

Keywords:   Quality improvement, shared decision making, patient engagement, Model for Improvement, Plan-Do-Study-Act cycles, organizational change

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