Advancing Shared Decision Making
For over two decades, the Informed Medical Decisions Foundation has been working to advance shared decision making through research, policy, clinical models and patient decision aids. We believe that the only way to ensure high quality medical decisions are being made is for a fully informed patient to participate in a shared decision making process with their health care provider.
Seventh International Shared Decision Making (ISDM) Conference to Bring Shared Decision Making to Global Stage
The central theme of this meeting “Globalizing SDM: Pacientes @ the centre of healthcare” has two implications. First, it suggests thinking about shared decision making more broadly, as an integral component of patient-centered care and second, it highlights the need to address health disparities so each and every person has the opportunity to be at the center of their health care. Over the course of the conference, participants will hear from experts about the various aspects of making shared decision making a global reality. These include basic science, theories and concepts, development of SDM products, implementation and sustainability, measurement and assessment, and evaluation and impact. Continue reading
Misleading Headline Implies Shared Decision Making Leads to Higher Costs, Longer Hospital Stays, but Evidence is Lacking
Total costs for a population are driven much more by hospitalization rates than by length of stay or in-hospital costs. Involving informed patients in their own preference sensitive health care decisions is not only the right thing to do; it also has the potential to identify the right rates of medical interventions. The right rate may be lower in situations of baseline overutilization, or higher in situations of baseline underutilization. No one should take away from this study that informing and involving patients in their health care decisions is inadvisable because it will inevitably increase costs. Continue reading
Transforming care so that shared decision making is standard practice must be a multi-stakeholder effort, with women, clinicians, hospital administrators, payers and policy makers doing their part. Childbearing women and their advocates have a critical role in demanding this kind of care. Women can “vote with their feet” by choosing providers who engage them in shared decision making and honor their right to informed choice. But they can also advocate for system changes so that shared decision making becomes the standard. Continue reading
Shared decision making to inform and involve patients in their health care decisions is gaining great momentum as a strategy to improve the quality and value of health care. However, making patient participation in decisions the rule, and not the exception, is challenging. Now is the time to convene patient advocates, providers, health care systems, policy makers and insurers to engage in a critical discussion about how to address this challenge and make it easier to do the right thing by informing and involving patients when it matters most — when a decision is looming. Continue reading