What is a good medical decision? A research agenda guided by perspectives from multiple stakeholders

Jada G. Hamilton, Sarah E. Lillie, Dana L. Alden, Laura Scherer, Megan Oser, Christine Rini, Miho Tanaka, John Baleix, Mikki Brewster, Simon Craddock Lee, Mary K. Goldstein, Robert M. Jacobson, Ronald E. Myers, Brian J. Zikmund-Fisher, Erika A. Waters

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Informed and shared decision making are critical aspects of patient-centered care, which has contributed to an emphasis on decision support interventions to promote good medical decision making. However, researchers and healthcare providers have not reached a consensus on what defines a good decision, nor how to evaluate it. This position paper, informed by conference sessions featuring diverse stakeholders held at the 2015 Society of Behavioral Medicine and Society for Medical Decision Making annual meetings, describes key concepts that influence the decision making process itself and that may change what it means to make a good decision: interpersonal factors, structural constraints, affective influences, and values clarification methods. This paper also proposes specific research questions within each of these priority areas, with the goal of moving medical decision making research to a more comprehensive definition of a good medical decision, and enhancing the ability to measure and improve the decision making process.

Original languageEnglish (US)
Pages (from-to)52-68
Number of pages17
JournalJournal of Behavioral Medicine
Volume40
Issue number1
DOIs
StatePublished - Feb 1 2017

Keywords

  • Decision making
  • Decision quality
  • Patient participation
  • Patient-centered care
  • Physician–patient communication
  • Shared decision making

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health

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  • Cite this

    Hamilton, J. G., Lillie, S. E., Alden, D. L., Scherer, L., Oser, M., Rini, C., Tanaka, M., Baleix, J., Brewster, M., Craddock Lee, S., Goldstein, M. K., Jacobson, R. M., Myers, R. E., Zikmund-Fisher, B. J., & Waters, E. A. (2017). What is a good medical decision? A research agenda guided by perspectives from multiple stakeholders. Journal of Behavioral Medicine, 40(1), 52-68. https://doi.org/10.1007/s10865-016-9785-z