JACC: Advances Expert Panel Perspective
Elizabeth M. Perpetua, Roseanne Palmer, Viet T. Le, Sana M. Al‐Khatib, C. Beavers, Joshua A. Beckman, Biykem Bozkurt, Megan Coylewright, Caroline Lloyd Doherty, Kimberly Guibone, Marian Hawkey, Patricia Keegan, James N. Kirkpatrick, Jessica Laperle, Sandra Lauck, Glenn N. Levine, Brian R. Lindman, Michael J. Mack, Andrea Price, Susan Strong, Janet Wyman, Quentin R. Youmans, Martha Gulati
Abstract
Shared decision-making (SDM) and multidisciplinary team-based care delivery are recommended across several cardiology clinical practice guidelines. However, evidence for benefit and guidance on implementation are limited. Informed consent, the use of patient decision aids, or the documentation of these elements for governmental or societal agencies may be conflated as SDM. SDM is a bidirectional exchange between experts: patients are the experts on their goals, values, and preferences, and clinicians provide their expertise on clinical factors. In this Expert Panel perspective, we review the current state of SDM in team-based cardiovascular care and propose best practice recommendations for multidisciplinary team implementation of SDM.