A team of researchers from multiple institutions and countries have published a paper in the journal, The Patient, examining the use of support tools for preference-sensitive decisions in healthcare. In this publication, they explore the current status, future directions, and mechanisms for increasing their use in clinical decision-making. associate professor of health services policy and management Dr. Jan Ostermann (University of South Carolina Arnold School of Public Health) served as lead author on the paper.
In this commentary, the authors discuss the need for shared decision-making as a core component of patient-centered care. On one end of the healthcare decision-making continuum, physicians deliberate and make decisions for patients (i.e., paternalistic decision-making) and the patients comply. On the other end of the continuum, the healthcare provider offers expertise and information to the patient who then deliberates and makes a decision (i.e., informed decision-making). Shared decision-making falls in between these two extremes.
Though circumstances may vary (e.g., emergency situations; lack of time/infrastructure), the majority of healthcare decisions are potentially preference sensitive. In other words, they are characterized by situations where the evidence for the superiority of one treatment over another is either not available or does not allow differentiation; in these situations the best choice between two or more valid approaches depends on how individuals value their respective risks and benefits.Friday Letter Submission, Publish on July 26