Inspired by Dr. Jeff Belkora's work with shared decision making at the UCSF Breast Care Center, Dr. Belinda Hacking brought a similar model to Edinburgh. Macmillan Cancer Support provided Belinda and her team with a generous grant for a pilot study integrating decision support into medical care for breast, prostate, brain and colorectal cancer. Preliminary results have shown that patients believed the intervention had a positive effect on their experience.
On May 28, 2011 the world lost a respected general practitioner, health communicator and patient advocate. Dr. Ann McPherson, a recipient of the UK's Medical Journalists' Association Lifetime Achievement Award in 2010 and the BMJ's Health Communicator of the Year award in 2011, recognized very early on in her career that it is essential to put the patient perspective at the center of health care.
This brief provides an overview of the basic tenets of SDM, the challenges of participating in SDM from the provider and patient perspective, and opportunities to adopt SDM in health reform. It contains a helpful review of numerous policy options that could be used to encourage adoption of SDM, including incorporating SDM into meaningful use criteria for electronic health records. Though these options are not state-specific, they could be applied to state policy.
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.