The paradox of using SDM for de-implementation of low-value care in the clinical encounter

Editorial Material Medicine, General & Internal

Making care fit manifesto

Marleen Kunneman et al.

BMJ EVIDENCE-BASED MEDICINE (2023)

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Editorial Material Medicine, General & Internal

The limits of shared decision making

Glyn Elwyn et al.

BMJ EVIDENCE-BASED MEDICINE (2023)

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Article Primary Health Care

A Brief Shared Decision-Making Intervention for Acute Respiratory Infections on Antibiotic Dispensing Rates in Primary Care: A Cluster Randomized Trial

Tammy C. Hoffmann et al.

Summary: This study aimed to reduce antibiotic dispensing rate and improve GPs' knowledge of antibiotic benefit-harm evidence through the use of decision aids and training. The results showed that while the intervention led to a significant increase in knowledge, it did not significantly decrease antibiotic dispensing rate.

ANNALS OF FAMILY MEDICINE (2022)

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Review Medicine, General & Internal

Collaboration and Shared Decision-Making Between Patients and Clinicians in Preventive Health Care Decisions and US Preventive Services Task Force Recommendations

Karina W. Davidson et al.

Summary: This article summarizes the ethical and scientific principles of shared decision-making, emphasizes the importance of patient involvement in care, and reaffirms the role of shared decision-making in patient-centered preventive care decisions.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2022)

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Editorial Material Health Care Sciences & Services

Promise and perils of patient decision aids for reducing low-value care

Rachel Thompson et al.

BMJ QUALITY & SAFETY (2021)

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Review Health Care Sciences & Services

Physicians? views and experiences of defensive medicine: An international review of empirical research

Nola M. Ries et al.

Summary: This study systematically maps empirical research on physicians' views and experiences of hedging-type defensive medicine, which involves providing services to reduce perceived legal risks. The study identified common hedging-type practices among physicians, such as ordering unnecessary tests and treatments, suggesting invasive procedures against professional judgment, and excessive documentation in medical records. Potential solutions to defensive medicine were explored at macro, meso, and micro levels, with areas for future research including qualitative studies and intervention research.

HEALTH POLICY (2021)

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Editorial Material Orthopedics

Overcoming Overuse Part 5: Is Shared Decision Making Our Excalibur?

Simon Decary et al.

Summary: Shared decision making is recommended as a strategy to help patients identify what matters most to them and make informed decisions about musculoskeletal care, aiming to reduce the overuse of options that are not beneficial and increase the use of evidence-based care.

JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY (2021)

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Article Health Care Sciences & Services