A decade ago, we saw little in the medical literature about shared decision making, but that has changed. The last several years have brought a proliferation of literature about shared decision making, participatory decision making, decision aids, and related topics. A recent PubMed search for “shared decision making” resulted in 1891 articles. Although we may be tempted to think that we know all that we need to know about it, the article in this issue of the Archives by Young et al1 adds a twist to the thinking about this somewhat unsettling topic. These researchers not only found that the physicians in their study engaged in very little shared decision making—as many other researchers have also documented2- 7—they also found that a very minor action by patients stimulated a little more sharing of decisions on the part of physicians. This suggests that both parties influence one another, yet we have put most of our research emphasis on the role of physicians in engaging patients, neglecting the interactive nature of sharing between the 2 parties. With this slightly prismatic shift in perspective, I would like to challenge some prevalent notions that arise in conversations about shared decision making.
Thank you for submitting a comment on this article. It will be reviewed by JAMA Internal Medicine editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 22
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.