This article reviews the status of SDM implementation in the U.S., including state and federal activity, research funding and implementation in clinical practice. Also included is a helpful list of organizations that are advocating SDM use in the US, professional and accreditation organization activity in SDM, and a list of current activity in the development of patient decision aids.
This article describes the current issues surrounding informed patient decision making and how the use of SDM might improve informed decision making. The authors suggest using health information technology to bolster the use and simplify the implementation of SDM, by using it to trigger the delivery of information and collect and store information. The authors also suggest the use of additional surveys to assess patients’ knowledge and goals. The article reviews public and private developments that could facilitate the development of tools and methods to improve patient-centered care. Finally, the authors review policy options for implementation of SDM.