The document discusses the importance and implementation of shared decision making (SDM) in healthcare, emphasizing collaboration between patients and clinicians to improve decision quality. It highlights legislative support for SDM, particularly through the Affordable Care Act, which encourages the use of patient decision aids and promotes patient-centered care. Evidence shows that SDM enhances the decision-making process, leading to better healthcare outcomes.

1. Shared Decision MakingWe’re in This TogetherMichael J. Barry, MDPresident

2. We Believe Patients Should Be

3. Why Shared Decision Making in Health Care?

4. Evidence of the ProblemThe DECISIONS StudyA Portrait of How Americans Make Common Medical DecisionsMedical Practice Variation40 Years of Research Documenting Inconsistent Care

5. Patients: Making Decisions in the Face of Avoidable IgnoranceClinicians: Poorly “Diagnosing” Patients’ PreferencesPoor Decision Quality

6. Shared Decision MakingClinician and patient work together

7. They share information

8. About options and outcomes

9. About preferences

10. They work toward a consensus about the preferred test or treatment

11. They reach an agreement on the test or treatment to implement(Charles C, Soc Sci Med 1997; 44:681)

12. Supporting the ConceptSDM supported by patient decision aids improves decision quality

13. Both patients and physicians support SDM

14. Implementation models are demonstrating that SDM can work “in the trenches”O’Connor et al. Cochrane Database of Systematic Reviews, 2009