Shared Decision Making and Improving Health Care

Montori VM, Kunneman M, Brito JP. Shared Decision Making and Improving Health CareThe Answer Is Not In. JAMA. 2017;318(7):617–618. doi:10.1001/jama.2017.10168 Link


Achieving health care of higher quality at lower cost has fueled policy interest in shared decision making (SDM).1 In SDM, clinicians and patients work together to understand the patient’s situation and determine how best to address it.2 Programs are in place in the United States to promote SDM using legal and financial incentives, mostly by implementing patient decision aids (PtDAs).1 The Cochrane review3 of SDM tools for people facing treatment or screening decisions is the key evidence cited in policy statements that propose to implement, distribute, and use certified PtDAs.