Patient involvement in shared decision making: what ways promote patient participation and engagement?

Article type
Authors
Qiongwen Z1, Xiyang C1, Qinghua Y1, Xing W1, Lili S1, Lijuan Z1, Mingming Z2
1West China School of Medicine, Sichuan University, Chengdu, China
2Chinese Cochrane Centre, West China Hospital, Sichuan University, Chengdu, China
Abstract
Background: Patient participation in shared decision making has been increasingly important and much research has been done in the last decade. Quite a number of different ways aiming to promote patient participation in shared decision making have been developed. Objective: To investigate different ways of promoting the participation of the patient in shared decision making. Methods: We searched MEDLINE, EMBASE and CBM using the search term shared decision making , shared determinant , patient value preference in decision making and patient and doctors communication . We selectively reviewed the evidence which likely to promote patient participation in shared decision making. Synthesis and conceptual framework was developed, illustrating the known and putative ways that could promote the engagement of patient in shared decision making. Results: 179 articles were selected describing different ways and five categories of ways were identified that promote patient involvement in shared decision making such as: 1) communication-related (e.g. graphic forms); 2) education-related (e.g. interactive videos); 3) teamwork-related (e.g. transdisciplinary models); 4) assessment-related (e.g. shared decision-making questionnaires), 5) family-related (e.g. surrogate decision-makers). Details in Table 1. Conclusions: There is a great number of ways to promote patient involvement in shared decision making. However, further researches are needed to examine their limits, advantages and disadvantages of the possible ways.