Option Girds: Shared decision making made easier. Elwyn, G., Frosch, D., Thomson, R., Joseph-Williams, N., Lloyd, A., Kinnersley, P., Cording, E., Tomson, D., Dodd, C., Rollnick, S., Edwards, A., & Barry, M. Journal of general internal medicine, 27(10):1361-7, Elsevier Ireland Ltd, 2012.
Option Girds: Shared decision making made easier [pdf]Paper  Option Girds: Shared decision making made easier [link]Website  abstract   bibtex   
The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is shared and patients are supported to deliberate and express their preferences and views during the decision making process. To accomplish these tasks, we propose a model of how to do shared decision making that is based on choice, option and decision talk. The model has three steps: a) introducing choice, b) describing options, often by integrating the use of patient decision support, and c) helping patients explore preferences and make decisions. This model rests on supporting a process of deliberation, and on understanding that decisions should be influenced by exploring and respecting "what matters most" to patients as individuals, and that this exploration in turn depends on them developing informed preferences.
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 title = {Option Girds: Shared decision making made easier},
 type = {article},
 year = {2012},
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 keywords = {Communication skills,Decision making,Patient centered care,Patient involvement,Shared decision making},
 pages = {1361-7},
 volume = {27},
 websites = {http://dx.doi.org/10.1016/j.pec.2012.06.036,http://www.ncbi.nlm.nih.gov/pubmed/22618581,http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC3445676,http://link.springer.com/10.1007/s11606-012-2077-6},
 publisher = {Elsevier Ireland Ltd},
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 abstract = {The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is shared and patients are supported to deliberate and express their preferences and views during the decision making process. To accomplish these tasks, we propose a model of how to do shared decision making that is based on choice, option and decision talk. The model has three steps: a) introducing choice, b) describing options, often by integrating the use of patient decision support, and c) helping patients explore preferences and make decisions. This model rests on supporting a process of deliberation, and on understanding that decisions should be influenced by exploring and respecting "what matters most" to patients as individuals, and that this exploration in turn depends on them developing informed preferences.},
 bibtype = {article},
 author = {Elwyn, Glyn and Frosch, Dominick and Thomson, Richard and Joseph-Williams, Natalie and Lloyd, Amy and Kinnersley, Paul and Cording, Emma and Tomson, Dave and Dodd, Carole and Rollnick, Stephen and Edwards, Adrian and Barry, Michael},
 journal = {Journal of general internal medicine},
 number = {10}
}
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