title: Health Policy and Shared Decision Making in Emergency Care: A Research Agenda.
abstract: Although the Patient Protection and Affordable Care Act and other laws have promoted the use of shared decision making (SDM) in recent years, few specific policies have addressed the opportunities and challenges of utilizing SDM in the emergency department (ED). Policies relating to physician payment, quality measurement, and medical-legal risks each present unique challenges to adoption of SDM in the ED. This article summarizes findings from a health policy breakout session of the 2016 Academic Emergency Medicine Consensus Conference "Shared Decision Making in the Emergency Department: Development of a Policy-relevant, Patient-centered Research Agenda." The objectives were to 1) describe federal and state policies that influence utilization or assessment of SDM; 2) identify policies and policy-focused knowledge gaps that serve as barriers to adoption of ED SDM; and 3) to define a consensus-based, policy-focused research agenda to support adoption of SDM in emergency care.
authors.affiliation: Emergency Physicians Integrated Care, Salt Lake City, UT.|The Lewin Group, Falls Church, VA.
authors.forename: Brandon C
authors.initials: BC
authors.lastname: Maughan
authors.affiliation: Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA.
authors.forename: Zachary F
authors.initials: ZF
authors.lastname: Meisel
authors.affiliation: Department of Emergency Medicine, Yale University, New Haven, CT.
authors.forename: Arjun K
authors.initials: AK
authors.lastname: Venkatesh
authors.affiliation: Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Michelle P
authors.initials: MP
authors.lastname: Lin
authors.affiliation: Department of Emergency Medicine, Yale University, New Haven, CT.
authors.forename: Warren M
authors.initials: WM
authors.lastname: Perry
authors.affiliation: Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA.
authors.forename: Jeremiah D
authors.initials: JD
authors.lastname: Schuur
authors.affiliation: Departments of Emergency Medicine and Health Policy & Management, The George Washington University, Washington, DC.
authors.forename: Jesse M
authors.initials: JM
authors.lastname: Pines
authors.affiliation: Charles R. Drew University of Medicine and Science, Los Angeles, CA.|Patient Representative, Los Angeles, CA.
authors.forename: Constance L
authors.initials: CL
authors.lastname: Kizzie-Gillett
authors.affiliation: Patient Representative, Falls Church, VA.
authors.forename: William
authors.initials: W
authors.lastname: Vaughan
authors.affiliation: Ronald O. Perelman Department of Emergency Medicine, New York University School of Medicine, New York, NY.
authors.forename: Corita R
authors.initials: CR
authors.lastname: Grudzen
mesh_terms: D032921:Consensus; D003657:Decision Making; D004635:Emergency Medicine / Q000458:organization & administration*; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D005102:Health Expenditures; D006291:Health Policy; D006302:Health Services Research / Q000458:organization & administration*; D006801:Humans; D019359:Knowledge; D010358:Patient Participation; D058991:Patient Protection and Affordable Care Act