This Teachable Moment provides an example of how patient-centered care and shared decision-making require a comprehensive and transparent discussion between patient and physician of known risks, benefits, costs, and burden of available and reasonable treatment options.
Article InformationCorresponding Author: Rozalina G. McCoy, MD, MSc, Division of Primary Care Internal Medicine, Department of Medicine, Mayo Clinic, 200 First St SW. Rochester, MN 55905 (firstname.lastname@example.org).
Published Online: February 15, 2016. doi:10.1001/jamainternmed.2015.8320.
Conflict of Interest Disclosures: None reported.
Funding/Support: Dr Lipska receives support from the National Institute on Aging (NIA) as a Paul Beeson Career Development awardee and from Centers for Medicare & Medicaid Services (CMS) to develop and maintain publicly reported quality measures. In addition, this work was made possible with the support from the NIA as a Paul Beeson Career Development awardee and from the CMS to develop and maintain publicly reported quality measures.
Role of the Funder/Sponsor: The NIA and CMS had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Disclaimer: The contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIA.
Additional Contributions: We thank the Patient Advisory Group, a voluntary group of patients with diabetes mellitus from the community; since 2004, they have met with researchers from the Knowledge and Evaluation Research (KER) Unit at Mayo Clinic to aid and direct their work on what matters to patients. The discernment developed herein would not have been possible without their generous contribution to the science of patient-centered healthcare. We thank the patient for granting permission to publish this information.