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Am Fam Physician. 2022;106(2):205-207

This clinical content conforms to AAFP criteria for CME.

Author disclosure: No relevant financial relationships.

• Shared decision-making can be optimized when organizations provide resources and establish a supportive culture.
• Offer patients resources to prepare for important discussions and prompt goal consideration and questions for the clinician.
• Ask patients to teach back concepts to check their understanding.
• Document decisions and underlying reasons and share details with the patient and health care team.
From the AFP Editors

Shared decision-making between physicians and patients is a vital component of effective health care. Shared decision-making can improve patient experience and satisfaction, increase trust, and improve understanding of the risks and benefits of available options. The National Institute for Health and Care Excellence (NICE) published guidelines to offer practical advice for incorporating shared decision-making into everyday encounters.

An Organizational Change

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Coverage of guidelines from other organizations does not imply endorsement by AFP or the AAFP.

This series is coordinated by Michael J. Arnold, MD, associate medical editor.

A collection of Practice Guidelines published in AFP is available at

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