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Confronting evidence: individualised care and the case for shared decision-making

Doctor talking to patient.

Confronting evidence: individualised care and the case for shared decision-making

Ryan P, Vaughan D.

In many clinical scenarios there exists more than one clinically appropriate intervention strategy. When these involve subjective trade-offs between potential benefits and harms, patients’ preferences should inform decision-making.

Shared decision-making is a collaborative process, where clinician and patient reconcile the best available evidence with respect for patients’ individualized care preferences. In practice, clinicians may be poorly equipped to participate in this process.

This article was published in the Irish Medical Journal in January 2014.