Evidence map›Paper›PMID 16051459›Full record

SynthesisPatient education and counseling2006

An integrative model of shared decision making in medical encounters.

Gregory Makoul, Marla L Clayman

Registry-linked trialAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Patient education and counseling, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03780491 (Understanding and Addressing Patient and Provider Preferences Around Discussions of Cost of Breast Cancer Care), which is not on this map. Cited by 663 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
663citing papers in PubMed, 12 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03780491 nacompletednot on this mapstarted 2018, after this paper: background citation

Understanding and Addressing Patient and Provider Preferences Around Discussions of Cost of Breast Cancer Care

TypeinterventionalSponsorUniversity of UtahRan2018 to 2020Enrolled100ConditionsBreast CancerArmsCost Discussion
3 · Its place in the literature

Who cites it

663 citing papers in PubMed, 12 syntheses or guidelines pooled it.

  1. Pooled it
  2. Communication Processes Related to Decision-Making in Medication Management Between Healthcare Providers, Older People and Their Carers: A Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2025
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  8. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024
    Pooled it
  9. Interventions for Indigenous Peoples making health decisions: a systematic review.Archives of public health = Archives belges de sante publique · 2023
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  15. Patients' experiences of a patient-centred polypharmacy medication review intervention: a mixed-methods study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
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603 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Gregory MakoulProgram in Communication and Medicine, Division of General Internal Medicine, Robert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, 676 North St. Clair, Suite 200, Chicago, IL 60611, USA. makoul@northwestern.edu
Marla L Clayman

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveGiven the fluidity with which the term shared decision making (SDM) is used in teaching, assessment and research, we conducted a focused and systematic review of articles that specifically address SDM to determine the range of conceptual definitions.

methodsIn April 2005, we ran a Pubmed (Medline) search to identify articles published through 31 December 2003 with the words shared decision making in the title or abstract. The search yielded 681 citations, 342 of which were about SDM in the context of physician-patient encounters and published in English. We read and reviewed the full text of all 342 articles, and got any non-redundant references to SDM, which yielded an additional 76 articles.

resultsOf the 418 articles examined, 161 (38.5%) had a conceptual definition of SDM. We identified 31 separate concepts used to explicate SDM, but only "patient values/preferences" (67.1%) and "options" (50.9%) appeared in more than half the 161 definitions. Relatively few articles explicitly recognized and integrated previous work.

conclusionOur review reveals that there is no shared definition of SDM. We propose a definition that integrates the extant literature base and outlines essential elements that must be present for patients and providers to engage in the process of SDM. PRACTICE IMPLICATIONS: The integrative definition of SDM is intended to provide a useful foundation for describing and operationalizing SDM in further research.

Indexed as

Cooperative BehaviorDecision MakingModels, PsychologicalPhysician-Patient RelationsCommunicationHumansInformed ConsentNegotiatingOutcome Assessment, Health CarePaternalismPatient-Centered CarePatient Education as TopicPatient ParticipationPhysician's RoleProblem SolvingRisk Assessment

Identifiers

PMID16051459

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.