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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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Bringing shared decision making and evidence-based practice together

Bringing shared decision making and evidence-based practice together

Chapter:
(p.254) Chapter 39 Bringing shared decision making and evidence-based practice together
Source:
Shared Decision Making in Health Care
Author(s):

Tammy Hoffmann

Paul Glasziou

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198723448.003.0039

Both shared decision making (SDM) and evidence-based practice are important approaches in quality health care. Despite their interdependence, these two approaches have largely evolved in parallel and their interconnectedness has often been ignored. SDM is most crucial in the final step of evidence-based practice, where the appraised evidence is integrated with the clinician’s expertize and the patient’s values, preferences, and circumstances and a decision is reached. Without SDM, optimal evidence-based practice cannot occur. Without incorporating reliable evidence into the SDM process, patients’ preferences and decisions are not evidence-informed ones. The relationship between the two approaches could be strengthened in a number of ways, including integrating training in SDM skills as part of evidence-based practice curricula, incorporating decision support tools into evidence resources such as systematic reviews and guidelines, and identifying research priorities in partnership with patients. Both approaches, and patient care more generally, would benefit from a stronger relationship.

Keywords:   Shared decision making, evidence-based practice, training, continuing professional development, decision support tools, clinical guidelines

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