Evidence-Based Medicine in Otolaryngology, Part 8: Shared Decision Making—Impact, Incentives, and Instruments

Allison K. Ikeda, Paul Hong, Stacey L. Ishman, Stephanie A. Joe, Gregory W. Randolph, Jennifer J. Shin

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)

Abstract

In our previous installment, we introduced shared decision making (SDM) as a collaborative process in which patients, families, and clinicians develop a mutually optimized treatment plan when more than 1 reasonable treatment option exists. In this subsequent installment of our Evidence-Based Medicine in Otolaryngology Series, we expand on the topic of SDM, including the related current state of clinical decision making, the impact of SDM on health care utilization and patient satisfaction, the potential role of system and society changes, the experience with SDM as it relates to race and ethnicity, existing financial incentives, and the validated instruments that assess the extent to which SDM occurs.

Original languageEnglish
Pages (from-to)11-16
Number of pages6
JournalOtolaryngology - Head and Neck Surgery
Volume159
Issue number1
DOIs
Publication statusPublished - Jul 1 2018

Bibliographical note

Funding Information:
Competing interests: Jennifer J. Shin receives textbook royalties from Evidence-Based Otolaryngology (Springer) and Otolaryngology Prep and Practice (Plural Publishing) and is a recipient of a Harvard Medical School Shore Foundation / Center for Faculty Development Grant and a Care Redesign Incubator Program Award. Stacey L. Ishman is a consultant for Medtronic (no content related to writing here). Sponsorships: None.

Funding Information:
The Agency for Healthcare Research and Quality and the National Institutes of Health have also provided funding for research into SDM.28 Other funding opportunities for SDM-related research have been available through nonprofit and private granting organizations, such as the Robert Wood Johnson Foundation, the Foundation of Informed Medical Decision Making, the Commonwealth Fund, George Bennett Fellowships, and Robert Derzon Grants. This includes funding for the development of patient decision aids and decision support interventions for patients.

Publisher Copyright:
© American Academy of Otolaryngology—Head and Neck Surgery Foundation 2018.

ASJC Scopus Subject Areas

  • Surgery
  • Otorhinolaryngology

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