Overview

Healthcare systems around the world are placing increasing importance on the relationship between patient choice and clinical decision-making, with many countries having shared decision making as a central theme in their healthcare policy developments. The concept of shared decision making (SDM) in healthcare is simple: clinicians and patients work together when solving problems and making decisions. However, the context and implementation are more challenging. Written by a global team of experts, the Oxford Textbook of Shared Decision Making, fourth edition, examines from both theoretical and practical perspectives, what comprises an effective decision making process, looking at the benefits and potential difficulties that arise when patients and clinicians share healthcare decisions. The first sections cover the theory, methods, and implementation of SDM. Later sections examine SDM from the viewpoints of different clinical and surgical specialities, and allied disciplines such as nursing, pharmacy, and midwifery. Each chapter contains reflections from a patient partner with lived experience of SDM, giving a truly diverse and collaborative account of how SDM can work between patients, families, carers, and healthcare professionals. Authoritative, evidence based, and grounded in clinical practice, the Oxford Textbook of Shared Decision Making explores a very important paradigm shift in the delivery of healthcare, providing thoughtful consideration and key strategies for its successful implementation.

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9780198897804

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Glyn Elwyn is a clinician and researcher. He is a tenured professor at The Dartmouth Institute for Health Policy and Clinical Practice in the USA, and has visiting chairs at Radboud University Nijmegen, University College London, UK, and the University of Lausanne in Switzerland. He studies coproduction and shared decision making in the context of learning health care systems, and the application of machine learning to digital recordings of clinical encounters. His website can be found at: www.glynelwyn.com . Natalie Joseph-Williams is a Reader in Improving Patient Care at Cardiff University, UK. She is also a Board member and Scientific Lead for the International Shared Decision Making Society. Her specific research interests include implementation of person centred approaches in routine healthcare systems, patient and public involvement and engagement in health research, and shared decision making training for health and care professionals. Adrian Edwards is Professor of General Practice at Cardiff University, UK. He is also a part-time general practitioner in Cwmbran, Gwent, South Wales, and has a visiting professorship at Aarhus University, Denmark. His research interests have been in shared decision making and the development of decision aids, health literacy and self-management support.

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