title: Shared Decision Making: The Need For Patient-Clinician Conversation, Not Just Information.
abstract: The growth of shared decision making has been driven largely by the understanding that patients need information and choices regarding their health care. But while these are important elements for patients who make decisions in partnership with their clinicians, our experience suggests that they are not enough to address the larger issue: the need for the patient and clinician to jointly create a course of action that is best for the individual patient and his or her family. The larger need in evidence-informed shared decision making is for a patient-clinician interaction that offers conversation, not just information, and care, not just choice.
authors.affiliation: Ian Hargraves is a service designer in the Knowledge and Evaluation Research Unit at Mayo Clinic, in Rochester, Minnesota.
authors.forename: Ian
authors.initials: I
authors.lastname: Hargraves
authors.affiliation: Annie LeBlanc is an assistant professor of health services research and an investigator in the Knowledge and Evaluation Research Unit at Mayo Clinic.
authors.forename: Annie
authors.initials: A
authors.lastname: LeBlanc
authors.affiliation: Nilay D. Shah is an associate professor of health care policy and research at Mayo Clinic.
authors.forename: Nilay D
authors.initials: ND
authors.lastname: Shah
authors.affiliation: Victor M. Montori (montori.victor@mayo.edu) is a professor of medicine and lead investigator in the Knowledge and Evaluation Research Unit at Mayo Clinic.
authors.forename: Victor M
authors.initials: VM
authors.lastname: Montori
mesh_terms: D003142:Communication; D003657:Decision Making; D003695:Delivery of Health Care / Q000458:organization & administration*; D055317:Evidence-Based Practice; D005260:Female; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D008297:Male; D008490:Medical Informatics; D020380:Needs Assessment; D010358:Patient Participation / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations
keywords: Evidence-Based Medicine; patient-centered care; shared decision making