title: Integrating patient values into evidence-based practice: effective communication for shared decision-making.
abstract: Increasing data suggest that the traditional clinician-centered or disease-focused, biomedical approach to illness is less effective than a biopsychosocial, evidence-based, patient-centered approach to illness, particularly for chronic pain conditions. This article distinguishes patient-centered care from more traditional and outdated biomedical decision-making models; illustrates the complexity of illness behavior with a patient example; delves into the communication issues raised by this complexity, thereby demonstrating how best evidence can sometimes run counter to biases and intuition; provides a summary of evidence that patient-centered care positively affects outcomes; and explores how the shared decision-making approach along with cultivation of good communication skills can facilitate evidence-based practice.
authors.affiliation: Orthopedic Hand and Upper Extremity Services, Department of Orthopedic Surgery, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
authors.forename: Ana-Maria
authors.initials: AM
authors.lastname: Vranceanu
authors.forename: Cynthia
authors.initials: C
authors.lastname: Cooper
authors.forename: David
authors.initials: D
authors.lastname: Ring
mesh_terms: D003142:Communication; D003657:Decision Making; D055317:Evidence-Based Practice; D006801:Humans; D010358:Patient Participation; D018802:Patient-Centered Care; D010817:Physician-Patient Relations