Shared Decision-Making and Patient Empowerment in Preventive Cardiology.
Shared decision-making, central to evidence-based medicine and good patient care, begins and ends with the patient. It is the process by which a clinician and a patient jointly make a health decision after discussing options, potential benefits and harms, and considering the patient's values and preferences. Patient empowerment is crucial to shared decision-making and occurs when a patient accepts responsibility for his or her health. They can then learn to solve their own problems with information and support from professionals. Patient empowerment begins with the provider acknowledging that patients are ultimately in control of their care and aims to increase a patient's capacity to think critically and make autonomous, informed decisions about their health. This article explores the various components of shared decision-making in scenarios such as hypertension and hyperlipidemia, heart failure, and diabetes. It explores barriers and the potential for improving medication adherence, disease awareness, and self-management of chronic disease.
Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University, 600 N. Wolfe Street, Carnegie 591, Baltimore, MD, 21287, USA. sthiruvengadam@coh.org.
Swetha Kambhampati
SK
Thiruvengadam
Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University, 600 N. Wolfe Street, Carnegie 591, Baltimore, MD, 21287, USA.
Tamara
T
Ashvetiya
McGaw Medical Center, Northwestern University, Chicago, IL, USA.
Neil J
NJ
Stone
Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University, 600 N. Wolfe Street, Carnegie 591, Baltimore, MD, 21287, USA.
Roger S
RS
Blumenthal
Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University, 600 N. Wolfe Street, Carnegie 591, Baltimore, MD, 21287, USA.
Seth S
SS
Martin
D002309:Cardiology; D002318:Cardiovascular Diseases / Q000517:prevention & control* / Q000523:psychology; D000066491:Clinical Decision-Making; D003657:Decision Making; D003661:Decision Support Techniques; D019317:Evidence-Based Medicine; D006801:Humans; D055118:Medication Adherence; D010358:Patient Participation; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011314:Preventive Health Services; D040242:Risk Reduction Behavior; D012648:Self Care
Atherosclerotic cardiovascular disease; Cardiovascular prevention; Patient empowerment; Preventive cardiology; Shared decision-making