Shared decision making.
This is one of the hot concepts in healthcare right now. It is not new – but it is being embraced in many fields as a part of the trend towards more evidence-based practice and the changing culture of medicine where “doctor knows best” is no longer an acceptable platitude.
If you read or listen to a lot of the FOAMed resources – then you will hear a lot of discussion about engaging our patients in a shared decision making process. Whether that be to help us decide on the right investigation, treatment or indeed to make the decision to not investigate or treat a given problem.
Here is the ideal model as taught in most EBM courses:
Now that is a nice diagram – and it certainly sounds like a good idea. Out with paternalism, in with patient choice, add a sprinkling of evidence and voila – we can all go home happy.
But….. and there are a few here… how does it all actually work on the ED floor, in the busy GP clinic or specialist suite?
Have a listen to the latest Broome Docs podcast – and hear my dissection of how it could, should and might work in everyday practice.