Shared Decision-Making in Patient Care: Advantages, Barriers and Potential Solutions
Farzana Hoque
Abstract
Shared Decision-Making (SDM) is a collaborative process where physicians integrate scientific evidence with patients' goals, preferences, and values to make healthcare decisions. This approach contrasts with traditional methods, enhancing patient involvement and understanding. The BRAN questions (Benefits, Risks, Alternatives, Nothing) effectively facilitate SDM across various clinical settings, promoting patient safety. While time constraints and low health literacy pose barriers, strategies like visual aids, extended appointments, and cognitive assessments can mitigate these challenges. Training for physicians in SDM skills has been shown to improve patient outcomes and satisfaction, underscoring the importance of personalized care in outpatient and inpatient contexts.