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Shared Decision-Making: Improves care while lowering costs

A report published in the New England Journal of Medicine touts that shared decision-making provides many benefits for patients, clinicians, and the healthcare system as a whole. These benefits include improved patient knowledge, less anxiety over the care process, improved health outcomes, reductions in unwarranted variation in care and costs, and better alignment of care with patients’ values. 

Even the Affordable Care Act (ACA) thinks so. It has a provision in it that encourages greater use of shared decision-making in health care.

Patients and their families often get confused and overwhelmed when making complex medical decisions where there is more than one treatment option. Shared decision-making, a collaborative process between patients and their physicians, can help clear up questions efficiently and better aligns patients’ preferences and values with treatment plans.

Decision aids

One key to shared decision making is using patient decision aids…

Shared Decision-Making New England Journal of Medicine | Decision Aids

Why Value-Based Care Must Include Shared Decision-Making

Shared decision-making is a key patient engagement strategy, but not yet widespread. Healthcare professionals say integrating the practice into value-based care could spark adoption.

Shared decision-making, or the practice of an informed patient participating in treatment decisions alongside her clinicians, may seem like a natural patient engagement strategy. After all, shared decision-making integrates the patient into the healthcare process and gives the patient more claim in her wellness journey.

Shared decision-making has shown to reduce preventable hospital readmissions among cardiac patients by at least 19 percent, and can also decrease patient anxiety and healthcare costs.

But despite proven clinical efficacy, shared decision-making isn’t entirely widespread across the healthcare industry, says Peter Goldbach, MD, Chief Medical Officer for Rite Aid’s RediClinic and Health Dialog…

Why Value-Based Care Must Include Shared Decision-Making

Shared Decision Making Benefits Patients and Providers

There is little question that shared decision making (SDM) benefits patients and providers alike. According to the Society of Decision Professionals, the group that hosts the annual Shared Decision Making Summit, shared decision making is built on three pillars:

  • Patients. In the SDM model, patients are vital partners in their own healthcare decisions.
  • Providers. Moving toward SDM means “shifting the mindset” of providers so they are open to considering a patient’s values and preferences, including cultural, religious, or otherwise, when making treatment decisions.
  • Data. SDM relies on both patients and providers having access to the right education and data at the right times along the care continuum so patients are fully empowered.
Shared Decision Making Benefits Patients and Providers