As Shared Decision Making (SDM) Month comes to a close, we thank our blog post contributors, who wrote about the important role that shared decision making has played in their personal and professional lives. These SDM Month blog posts, our webinar, and other activities show how—at the beginning of life, at the close of life, and at every point along the way—shared decision making touches patients and the people who care for them.
Read more about those who are making shared decision making a reality
I have excellent health insurance, but like millions of Americans, I have a high-deductible health plan. As more and more employers move to this model, it is important that we, as consumers of health care, consider the costs of care as part of our treatment decision-making process. In what other buying decision would we ignore costs? Could you imagine comparing dishwashers or car models without looking at the price tag? Why would health care be any different?
Read more about why costs should be part of the decision-making process
Several decades ago, I spent 3 months caring for my father before he died at home. For my mother, alluding to the end of my father’s life was difficult. She left his blue blazer hanging on the back of a dining room chair where he had always left it, ready for work the next day. It remained there while he lay in a hospital bed in a room off the kitchen, until one day, a week before he died, the blazer was gone.
Read more about how Healthwise is helping people have "more good days"
At Kaiser Permanente, with an integrated pre-paid healthcare delivery system covering close to 9.2 million members across 7 regions, the incentives are very well aligned: Keeping our members healthy keeps our organization healthy. Member, family, and community engagement is central to our mission.
Read more about how Kaiser Permanente is rolling out SDM across its entire system
“I just found out that I have prostate cancer. I can’t believe it. After meeting with all the doctors, I still don’t know what treatment to have. Too many choices. Too many ‘what ifs.’ I need to figure this out soon …”
Read more about the role of nurse navigators in treatment decisions for prostate cancer
Shared decision making (SDM) has significant potential benefits for clinicians, health care systems, and most importantly, patients, including decreased patient anxiety and care variation and increased patient knowledge and value-aligned care. Integrating SDM into early-stage breast cancer surgical treatment planning was a natural fit for Allina Health, given the ongoing commitment to deliver exceptional care by putting the patient first.
Read more about integrating shared decision making into practice at Allina Health
“You have cancer…” Three words which by their sound and their meaning seem to stop shared decision making (SDM) before it can begin. Patients have likened the experience to being in a war, a victim…a survivor.
Read more about how oncology nurses can engage patients in shared decision making
Not long ago, I was talking with a news reporter about an article we published on how surgical decisions are made. The paper reported that surgery patients too often were not given enough information about reasonable options. During our discussion the reporter remarked that the findings of the study were all well and good for some people, but didn’t apply to her elderly dad. Her dad would never have wanted to have information or be involved in medical decisions about his care. Instead, he would just look to his wife to tell him what to do.
Read more about who benefits the most from shared decision making
Medicaid plays a key role in maternal health in the United States, financing 40 percent of all births each year. And since many states have extended Medicaid coverage to pregnant women up to or over 185 percent of the poverty level, this percentage will only increase. Like all moms, moms on Medicaid want to do everything they can to ensure their own health and the health of their babies. There are many decisions that women need to make during pregnancy, ranging from decisions about prenatal testing to labor and delivery interventions like induction and Cesarean. For many of these decisions, there is no right or wrong answer.
Read more about how to engage Medicaid moms in health care decisions
A new study published in the May issue of Health Affairs finds that some patients are concerned about being labeled “difficult” if they ask too many questions or disagree with a recommendation from their physician.
Read more about what may keep patients from engaging in shared decision making