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• W3048379059 abstract "Policymakers and researchers are strongly encouraging clinicians to support patient autonomy through shared decision-making (SDM). In setting policies for clinical care, decision-makers need to understand that current models of SDM have tended to focus on major decisions (e.g., surgeries and chemotherapy) and focused less on everyday primary care decisions. Most decisions in primary care are substantive everyday decisions: intermediate-stakes decisions that occur dozens of times every day, yet are non-trivial for patients, such as whether routine mammography should start at age 40, 45, or 50. Expectations that busy clinicians use current models of SDM (here referred to as “detailed” SDM) for these decisions can feel overwhelming to clinicians. Evidence indicates that detailed SDM is simply not realistic for most of these decisions and without a feasible alternative, clinicians usually default to a decision-making approach with little to no personalization. We propose, for discussion and refinement, a compromise approach to personalizing these decisions (everyday SDM). Everyday SDM is based on a feasible process for supporting patient autonomy that also allows clinicians to continue being respectful health advocates for their patients. We propose that alternatives to detailed SDM are needed to make progress toward more patient-centered care." @default.
• W3048379059 created "2020-08-18" @default.
• W3048379059 creator A5014166435 @default.
• W3048379059 creator A5051649740 @default.
• W3048379059 date "2020-08-10" @default.
• W3048379059 modified "2023-10-10" @default.
• W3048379059 title "Dealing with the Lack of Time for Detailed Shared Decision-making in Primary Care: Everyday Shared Decision-making" @default.
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• W3048379059 doi "https://doi.org/10.1007/s11606-020-06043-2" @default.
• W3048379059 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7572954" @default.
• W3048379059 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/32779137" @default.
• W3048379059 hasPublicationYear "2020" @default.
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