Advertisement

« Stop wasting time lo... | Main | Perform a quick HIPA... »

Friday Mar 02, 2018

Six simple steps to shared decision making

Shared decision making may sound complicated, but it is simply a way for physicians to help patients select the optimal test or treatment among several valid options. These conversations involve six basic steps:

1. Invite the patient to participate: “Would you be willing to talk about breast cancer screening today?”

2. Present the options: “For breast cancer screening, women your age can choose to get a mammogram or not.”

3. Provide information on benefits and risks: “Among 1,000 women your age who undergo screening every year, about 21 are diagnosed with breast cancer and three die. About 600 have false alarms, and 124 undergo a biopsy.” An online decision aid such as HealthDecision(www.healthdecision.org) can be helpful with this step.

4. Assist the patient in evaluating options based on individual goals and concerns: “What do you think about the information I just shared? Do you have any concerns or preferences?”

5. Facilitate deliberation and decision making: “What I’m hearing is that, despite the risks, getting a mammogram will reassure you that you don’t have breast cancer.”

6. Assist the patient in following through on the decision: “I’ll go ahead and order the mammogram, and next year we can talk about how often you want to continue getting a mammogram.”


Adapted from “A Simple Approach to Shared Decision Making in Cancer Screening.”

Posted at 07:00AM Mar 02, 2018 by FPM Editors

« Stop wasting time lo... | Main | Perform a quick HIPA... »


CURRENT ISSUE

RECENT POSTS

SEARCH THIS BLOG


TOPICS

DISCLAIMER

The views expressed here do not necessarily reflect the opinions of the AAFP. All comments are moderated and will be removed if they violate our Terms of Use.

FEEDS