The Shared Decision Making Continuum

Division of Pediatric Critical Care Medicine, and Clinical and Translational Science Center, University of California, Davis, Sacramento, CA 95817, USA.
JAMA The Journal of the American Medical Association (Impact Factor: 35.29). 08/2010; 304(8):903-4. DOI: 10.1001/jama.2010.1208
Source: PubMed
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Available from: Alexander A Kon, Jan 23, 2015
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    • "Cancer treatment decisions are rather complex, because they are embedded in a social context; individuals with cancer have relatives, friends, and a team of providers who work with them in some capacity to arrive at decisions about whether and how to treat their cancer. Indeed, physicians are now encouraged to participate in shared decision making, where they partner with patients in facilitating an informed choice (Kon, 2010). Although we know that emotional experiences can be transmitted or shared (e.g., De Vignemont & Singer, 2006), much remains to be learned about mechanisms and consequences of this phenomenon in the context of complex social relationships or networks. "
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    ABSTRACT: Cancer control research involves the conduct of basic and applied behavioral and social sciences to reduce cancer incidence, morbidity, and mortality and improve quality of life. Given the importance of behavior in cancer control, fundamental research is necessary to identify psychological mechanisms underlying cancer risk, prevention, and management behaviors. Cancer prevention, diagnosis, and treatment are often emotionally laden. As such, affective science research to elucidate questions related to the basic phenomenological nature of emotion, stress, and mood is necessary to understand how cancer control can be hindered or facilitated by emotional experiences. To date, the intersection of basic affective science research and cancer control remains largely unexplored. The goal of this article is to outline key questions in the cancer control research domain that provide an ecologically valid context for new affective science discoveries. We also provide examples of ways in which basic affective discoveries could inform future cancer prevention and control research. These examples are not meant to be exhaustive or prescriptive but instead are offered to generate creative thought about the promise of a cancer research context for answering basic affective science questions. Together, these examples provide a compelling argument for fostering collaborations between affective and cancer control scientists. © The Author(s) 2015.
    Perspectives on Psychological Science 05/2015; 10(3):328-45. DOI:10.1177/1745691615576755 · 4.89 Impact Factor
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    • "In summary, there is a lack of knowledge on clinical decision making and its relation to outcome in the routine treatment of people with SMI. Specifically, the process of decision-making in real-time encounters has been under-researched (Karnieli-Miller & Eisikovits, 2009; Kon, 2010). This paper addresses these knowledge gaps by examining the following research questions: (a) Which clinical decision making style is preferred by patients and staff? "
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    ABSTRACT: Clinical decision making and outcome in the routine care of people with severe mental illness across Europe (CEDAR). Epidemiology and Psychiatric Sciences, Available on CJO 2015
    Epidemiology and Psychiatric Sciences 02/2015; DOI:10.1017/S204579601400078X · 3.91 Impact Factor
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    • "SDM is a central component of patient-centered care [5-7]. It engages both physician and patient in an interactive process in which information is shared, discussion and deliberation is encouraged and a shared agreement regarding the treatment plan is reached [8,9]. "
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    ABSTRACT: Reducing health inequalities and enhancing the social accountability of medical students and physicians is a challenge acknowledged by medical educators and professionals. It is usually perceived as a macro-level, community type intervention. This commentary suggests a different approach, an interpersonal way to decrease inequality and asymmetry in power relations to improve medical decisions and care. Shared decision-making practices are suggested as a model that requires building partnership, bi-directional sharing of information, empowering patients and enhancing tailored health care decisions. To increase the implementation of shared decision-making practices in Israel, an official policy needs to be established to encourage the investment of resources towards helping educators, researchers, and practitioners translate and integrate it into daily practice. Special efforts should be invested in medical education initiatives to train medical students and residents in SDM practices.
    Israel Journal of Health Policy Research 07/2014; 3(26). DOI:10.1186/2045-4015-3-26
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