This July, individuals from all over the world gathered at the 2012 Dartmouth Summer Institute for Informed Patient Choice to discuss measurement of shared decision making (SDM) in clinical practice. During the three day conference, participants had the opportunity to hear from local, national and international leaders dedicated to developing and evaluating SDM and decision support tools. The discussions were led by Summer Institute co-directors, Dale Collins Vidal and Karen Sepucha, and others including Glyn Elwyn, Elliott Fisher, Al Mulley and Annette O’Connor. They prompted participants to keep a single objective in mind througout the conference: how do we develop efficient, valid and reliable metrics for use of SDM in clinical settings?
Posted in Current News
Tagged Accountable Care Organizations, Albert Mulley, Annette O'Connor, Dartmouth Summer Institute, Glyn Elwyn, informed decisions, measurement, Michael J. Barry, patients, shared decision making, Thom Walsh
The MAGIC (Making Good Decisions in Collaboration) program is exploring how shared decision making can be embedded in the core clinical practice of mainstream health services in the UK. The program is support by the Health Foundation and according to their website, “Our MAGIC programme is working with frontline health professionals and their priority projects across the UK to test how to embed best practice and overcome the barriers to change. We are one year into the programme and so far we’re seeing some interesting and inspiring results. We think we’re on our way to making healthcare more patient-centred and influencing more healthcare professionals to give patients the choice and involvement they are asking for.” In this guest post, Glyn Elwyn who co-lead the initial phase of the program with Richard Thomson, reflects back on his team’s involvement in MAGIC.
Posted in Current News, SDM Month
Tagged decision aids, Glyn Elwyn, MAGIC program, March 2013, patient-centered care, quality care, Richard Thomson, shared decision making, Shared Decision Making Month, The Health Foundation
What about policy regarding SDM? SDM is on the national policy agenda and has been prioritised as part of the health reform bill currently going through the Houses of Parliament. The NHS Constitution emphasises patients' right to be involved in decisions and this is reinforced in standards set by professional regulators. What about tools - Decision support for patients? The UK governments have invested in patient information and a few decision aids are freely available on public websites.
Policies to promote shared decision making are becoming prominent in the United States, Canada, and United Kingdom. This is partly because of a recognition of the ethical imperative to properly involve patients in decisions about their care and partly because of the acrruing evidence that the approach has benefits. Shared decision making is an approach where clinicians and patients make decisions together using the best available evidence.
Posted in Health Care Policy, Patient Involvement, SDM Implementation
Tagged Angela Coulter, decision making, evidence-based medicine, Glyn Elwyn, NHS, patient autonomy, patient engagement, patients, shared decision making