Evidence-based medicine and shared decision making

Kasey R. Boehmer, Victor Manuel Montori, Henry H. Ting

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Evidence-based medicine (EBM) encompasses three important principles: (1) Clinicians should consider the best available evidence when making clinical decisions; (2) some evidence warrants greater confidence than other evidence; and (3) the evidence alone is never enough to fully inform clinical decisions without considering patient values, preferences, and context. To practice the third principle, EBM requires the incorporation of shared decision making (SDM), where the patient and the clinician will deliberate together and arrive at a decision collaboratively. SDM requires an empathic “dance” across decision-making models, which are discussed in this chapter. We also discuss the importance of SDM for the translation of evidence into clinical practice, the evidence to support the practice of SDM, and how clinicians can practice SDM, as well as the future of SDM in the context of challenges of implementation, measurement, policy, and research.

Original languageEnglish (US)
Title of host publicationAmerica's Healthcare Transformation
Subtitle of host publicationStrategies and Innovations
PublisherRutgers University Press
Pages262-278
Number of pages17
ISBN (Electronic)9780813572246
ISBN (Print)9780813572222
StatePublished - Jan 1 2016

Fingerprint

Evidence-based medicine
Shared decision making
Confidence
Clinical decision making
Decision-making model
Warrants
Dance

ASJC Scopus subject areas

  • Economics, Econometrics and Finance(all)
  • Business, Management and Accounting(all)

Cite this

Boehmer, K. R., Montori, V. M., & Ting, H. H. (2016). Evidence-based medicine and shared decision making. In America's Healthcare Transformation: Strategies and Innovations (pp. 262-278). Rutgers University Press.

Evidence-based medicine and shared decision making. / Boehmer, Kasey R.; Montori, Victor Manuel; Ting, Henry H.

America's Healthcare Transformation: Strategies and Innovations. Rutgers University Press, 2016. p. 262-278.

Research output: Chapter in Book/Report/Conference proceedingChapter

Boehmer, KR, Montori, VM & Ting, HH 2016, Evidence-based medicine and shared decision making. in America's Healthcare Transformation: Strategies and Innovations. Rutgers University Press, pp. 262-278.
Boehmer KR, Montori VM, Ting HH. Evidence-based medicine and shared decision making. In America's Healthcare Transformation: Strategies and Innovations. Rutgers University Press. 2016. p. 262-278
Boehmer, Kasey R. ; Montori, Victor Manuel ; Ting, Henry H. / Evidence-based medicine and shared decision making. America's Healthcare Transformation: Strategies and Innovations. Rutgers University Press, 2016. pp. 262-278
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