What is shared decision making?

Shared decision making is when people and health professionals are partners in making decisions. They talk about a health care issue or problem. They health professional and the person share information. This two-way flow is vital. They both agree on a plan of action. This is the decision.

Most people expect to learn about tests, treatment and care options from health professionals. People (health consumers) all over the world have pushed for more shared decision making. Many health care systems now support this approach. Shared decision making is part of health care standards of quality and safety.

Shared decision making happens when people talk with health professionals about a health issue or problem. They talk about what is important to the person. They talk about what will help the person feel better. They talk about how much a test, treatment will help. Then they make a decision together about what to do next. Shared decision making brings together values, goals and preferences of people and evidence about test, treatment and care.

To share decisions people need to know the options. People need to know the how well the test, treatment or care options work (evidence). People need to know the benefits and harms of the options. People need to know the chance that the benefits or harms will happen. Health professionals need to know what is important to the person. What tests or treatments they do and don’t want to do. Knowing these things helps people reach the best health care decision for them.

What and how to share information

The Share of Ask Share Know is important. People make decisions all the time, many are simple, and many involve many choices with many outcomes.

Making good health decisions combines two key things. Your knowledge about values, goals and preferences that matter to you and your health professionals expert health care knowledge. It is important that you use this information to support shared decision making.

Health professionals need your help to know you. This will help you to talk about tests, treatment or care options you prefer or prefer not to do.

The more you share about what is important to you. The more your health professional can give you the information you need. This means the decision you make will take into account things that matter. Your medical history, your risk factors and your lifestyle preferences.

Think about choosing a birth control (contraception) method. Your choice may depend on:

  • medical conditions you have
  • plans for children in the future
  • feelings you have about the different options

Sharing the decision with a health professional means you can learn and understand your treatment options. This will help you decide on an option that is best for you now and in the future.

What are lifestyle preferences and personal needs?

  • Preferences are things you do and do not like.
  • Needs are things that are important for you to live well.
  • These help you decide between options.

Lifestyle preferences

  • What are your eating and exercise habits? Do you enjoy exercise? How often can or do you exercise? Are you able to lose some weight to improve the chance of success of your knee surgery?
  • When you take medicines, do you follow the advice and take it at the right times? Do you often have medicine left over? Do you avoid taking medicine as much as you can?

Individual needs

  • What makes you choose to take medicines or have a test or treatment? Do you need to get better quickly to look after your family? Do you need to get back to work? Are you scared of needles or injections?