Shared Decision-Making in Diabetes Care

Shrikant Tamhane, Rene Rodriguez-Gutierrez, Ian Hargraves, Victor Manuel Montori

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Shared decision-making (SDM) is a collaborative process by which patients and clinicians work together in a deliberative dialogue. The purpose of this dialogue is to identify reasonable management options that best fit and addresses the unique situation of the patient. SDM supports the patient-centered translation of research into practice. SDM also helps implement a core principle of evidence-based medicine: evidence is necessary but never sufficient to make a clinical decision, as consideration of patient values and context is also required. SDM conversations build on a partnership between the patient and the clinician, draw on the body of evidence with regard to the different treatment options, and consider options in light of the values, preferences, and context of the patient. SDM is appropriate for diabetes care because diabetes care often requires consideration of management options that differ in ways that matter to patients, such as the way in which they place significant demands on patient’s life and living. In the last decade, SDM has proven feasible and useful for sharing evidence with patients and for involving patients in making decisions with their clinicians. Health care and clinical policies advocate SDM, but these policies have yet to impact diabetes care. In this paper, we describe what SDM is, its known impact on diabetes care, and needed work to implement this patient-centered approach in the care of the millions of patients with diabetes.

Original languageEnglish (US)
Article number112
JournalCurrent Diabetes Reports
Volume15
Issue number12
DOIs
StatePublished - Dec 1 2015

Fingerprint

Decision Making
Patient Preference
Evidence-Based Medicine
Patient Care
Delivery of Health Care
Research

Keywords

  • Decision aids
  • Diabetes
  • Evidence-based medicine
  • Shared decision-making

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Internal Medicine

Cite this

Shared Decision-Making in Diabetes Care. / Tamhane, Shrikant; Rodriguez-Gutierrez, Rene; Hargraves, Ian; Montori, Victor Manuel.

In: Current Diabetes Reports, Vol. 15, No. 12, 112, 01.12.2015.

Research output: Contribution to journalArticle

Tamhane, S, Rodriguez-Gutierrez, R, Hargraves, I & Montori, VM 2015, 'Shared Decision-Making in Diabetes Care', Current Diabetes Reports, vol. 15, no. 12, 112. https://doi.org/10.1007/s11892-015-0688-0
Tamhane, Shrikant ; Rodriguez-Gutierrez, Rene ; Hargraves, Ian ; Montori, Victor Manuel. / Shared Decision-Making in Diabetes Care. In: Current Diabetes Reports. 2015 ; Vol. 15, No. 12.
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