Care happens in interaction between the patient and the clinician, in conversation where the patient and clinician uncover or develop a shared understanding of the problematic situation of the patient...

Wie kann „Shared decision making“ heute und in Zukunft aussehen? Das war Thema auf dem Herbstforum 2025 – eine Veranstaltung von Amgen, AstraZeneca, Bristol Myers Squibb und Roche.

Background Older adults with multimorbidity present a unique challenge to municipal healthcare due to the complexity of managing multiple health conditions simultaneously. Addressing multimorbidity,...

BECOME A MEMBERJoin a Global Community Advancing Shared Decision-Making and Person-Centered Care Memberships for individualsInstitutional memberships Members can: join a diverse community dedicated to...

To explore the ability of artificial intelligence to produce comparison tables to facilitate shared decision-making.An expert human-generated comparis…

Background: Patient-provider discussions and shared decision-making (SDM) are essential for tailoring lung #Cancer screening (LCS) decisions to individual patients. However, implementation of SDM in primary care settings is challenging. Innovative approaches are needed to reach patients eligible for LCS and help them prepare for LCS discussions in primary care settings and to increase the uptake of LCS. Objective: We piloted pre-visit preparation comparing two strategies: a paper decision aid (DA) (DA group), and an enhanced comparator strategy consisting of the paper DA plus an automated text message program (DA+TM group) designed to promote patient-provider LCS discussions. We explored #feasibility and gathered preliminary data on its potential effects on LCS discussions, decision-making, and LCS uptake in primary care settings. Methods: In a sequential quasi-experimental pilot, we recruited patients who were eligible for LCS in a single academic healthcare system. Prior to an upcoming visit, participants in both groups received a paper-based DA by mail. In the DA+TM group, participants also received a series of automated text messages to help them prepare for their LCS discussions. We monitored participant recruitment and retention, and patient engagement in DA and text messages. In exploratory analyses, we assessed patient-provider discussion of LCS, SDM, patient knowledge, decision conflict at baseline and in follow-up telephone surveys, and LCS completion measured by electronic health records. Results: We enrolled 49 participants (DA group = 19, DA+TM group = 30). Participants were predominantly White, with a median age of 61.0 (IQR, 57.0-65.0), and 58.3% were female. Engagement in both groups was high. LCS knowledge significantly improved in the DA+TM group (4.5 baseline vs. 6.0 follow-up; P=.003), versus no change in the DA group (5.0 baseline vs. 5.0 follow-up, P=.23). Median LCS knowledge change from baseline to follow-up was 0.5 (IQR -1.0-2.5) in the DA group, and 1.5 (IQR 0-3.0) in the DA+TM group (P=.24). Decision conflict in both groups significantly decreased (DA group: 37.5 baseline vs. 0 follow-up, P

A study of patients receiving a shared decision-making and dialysis choice intervention found frailty and BMI to be predictors of mortality.