Shared decision-making - Creating pathways and models of care.

Best Pract Res Clin Anaesthesiol · Jun 2020

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Shared decision-making - Creating pathways and models of care.

Shared decision-making (SDM) is an essential element providing patient-centered perioperative care. Newer value-based healthcare models, defined as patient-centered outcomes versus the cost required to achieve these outcomes, will necessitate the use of metrics that reflect the alignment of treatment decisions with patient preferences and goals. ⋯ By learning methodologies to successfully incorporate SDM into clinical practice, anesthesiologists can increase the value of care they provide to their patients. The ideal means of achieving SDM within the complexity of modern medicine is not yet certain.

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- Sarah K Abbett, Richard D Urman, and Angela M Bader.
- Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, 75 Francis St., Boston, MA, 02115, USA. Electronic address: sakahan@alumni.princeton.edu.
- Best Pract Res Clin Anaesthesiol. 2020 Jun 1; 34 (2): 297-301.
AbstractShared decision-making (SDM) is an essential element providing patient-centered perioperative care. Newer value-based healthcare models, defined as patient-centered outcomes versus the cost required to achieve these outcomes, will necessitate the use of metrics that reflect the alignment of treatment decisions with patient preferences and goals. The heart of a successful SDM conversation is ensuring this alignment. Accountability for ensuring high quality SDM perioperatively is not clearly assigned. By learning methodologies to successfully incorporate SDM into clinical practice, anesthesiologists can increase the value of care they provide to their patients. The ideal means of achieving SDM within the complexity of modern medicine is not yet certain.Copyright © 2020 Elsevier Ltd. All rights reserved.

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