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 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.