ArticleMedical decision making : an international journal of the Society for Medical Decision Making2022
Shared Decision Making in Health Care: Theoretical Perspectives for Why It Works and For Whom.
Article in Medical decision making : an international journal of the Society for Medical Decision Making, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.
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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.
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.
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Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review of shared decision making training programs for general practitioners.BMC medical education · 2024Pooled it
- Pooled it
- Natural Product Use Among Veterans with Chronic Pain: A Qualitative Study of Attitudes and Communication with Healthcare Providers.Journal of general internal medicine · 2024Trial
- Outcome of BMI2+: Motivational Interviewing to Reduce BMI Through Primary Care AAP PROS Practices.Pediatrics · 2024Trial
- The "good cancer" paradox: Decisional conflict and unmet support needs in patients with thyroid cancer facing surgical decisions-A mixed-methods study.Asia-Pacific journal of oncology nursing · 2026Article
- Investigating the Impact of Online Abortion Myths on Health Care Providers and Advocates: Interview Study.JMIR public health and surveillance · 2026Article
- Exploring Pathways to Optimise Care in malignant bowel obstruction (EPOC): A realist review of shared decision-making with people with advanced cancer and severe symptoms.Palliative medicine · 2026Review
- Perceived Clinician Autonomy Support Before and After the COVID-19 Pandemic Onset in a Pregnancy Cohort.Maternal and child health journal · 2026Article
- Exploring fulfillment of basic psychological needs in patients with dental anxiety: an investigation grounded in self-determination theory.Acta odontologica Scandinavica · 2026Article
- Defer, Share, or Drive the Decision: Empowering Patients With Varied Preferences to Engage in Decision-making (an Analysis From Alliance A231701CD).Annals of surgery · 2026Article
- Article
- Lived Experiences of Vertebral Body Tethering: A Qualitative Study of the Patient Journey.Pediatric health, medicine and therapeutics · 2026Article
- Experiences of Dissensus Between People Living With Mental Illness and Their Care Providers.Cureus · 2026Article
- A guide for a patient-centric approach to asthma management: results of a European Delphi consensus programme.NPJ primary care respiratory medicine · 2025Review
- Supporting Shared Decision-Making in Life-Altering Kidney Therapy Decisions for Older Adults: A Review.JAMA internal medicine · 2025Review
- Healthcare Decision-Making Ecosystem Deengineering.Cureus · 2025Review
- Shared decision-making in cancer care in Bangladesh: evidence from a resource-constrained setting.Journal of cancer research and clinical oncology · 2025Article
- From Trust to Choice: A Cross-Sectional Survey of How Patient Trust in Pharmacists Shapes Willingness and Vaccination Decision Control Preferences.International journal of environmental research and public health · 2025Article
- Communicating Numeric Risk Information to Patients.Journal of general internal medicine · 2025Article
- Examining How Technology Supports Shared Decision-Making in Oncology Consultations: Qualitative Thematic Analysis.JMIR cancer · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Applying both theoretical perspectives and empirical evidence, we address 2 key questions regarding shared decision making (SDM): 1) When should SDM be more patient driven, and when should it be more provider driven? and 2) Should health care providers match their SDM style/strategy to patient needs and preferences? Self-determination theory, for example, posits a distinction between autonomy and independence. A patient may autonomously seek their health care provider's input and guidance, perhaps due to low perceived competence, low coping resources, or high emotional arousal. Given their need state, they may autonomously require nonindependence. In this case, it may be more patient centered and need supportive to provide more provider-driven care. We discuss how other patient characteristics such as personality attributes, motivational state, and the course of illness and other parameters such as time available for an encounter may inform optimal provider decision-making style and strategy. We conclude that for some types of patients and clinical circumstances, a more provider-driven approach to decision making may be more practical, ethical, and efficacious. Thus, while all decision making should be patient centered (i.e., it should consider patient needs and preferences), it does not always have to be patient driven. We propose a flexible model of SDM whereby practitioners are encouraged to tailor their decision making behaviors to patient needs, preferences, and other attributes. Studies are needed to test whether matching decision-making behavior based on patient states and traits (i.e., achieving concordance) is more effective than simply providing all patients with the same type of decision making, which could be tested using matching/mismatching designs.
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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.