Thursday, October 2, 2014

From the Journal of General Internal Medicine

Shared Decision Making: A Model for Clinical Practice


They propose that achieving SDM depends on tasks that help confer agency, where agency refers to the capacity of

individuals to act independently and to make their own free choices.27,28 SDM aims to confer agency by 1) providing information and 2) supporting the decision making process…

They describe three key steps of SDM for clinical practice, namely: choice talk, option talk and decision talk, where the

clinician supports deliberation throughout the process (Fig. 1 and Boxes 1, 2 and 3). Choice talk refers to the step of making sure that patients know that reasonable options are available.



Glyn Elwyn, PhD1,2, Dominick Frosch, PhD3,4, Richard Thomson, MD5,

Natalie Joseph-Williams, MSc1, Amy Lloyd, PhD1, Paul Kinnersley, MD1, Emma Cording, MB BCh1,Dave Tomson, BM BCh6, Carole Dodd, MSc7, Stephen Rollnick, PhD1, Adrian Edwards, PhD1, and Michael Barry, MD8,9

1Cochrane Institute of Primary Care and Public Health, Neuadd Meirionydd, Cardiff University, Cardiff, UK; 2The Dartmouth Center for Health

Care Delivery Science, Dartmouth College, New Hampshire, NH, USA; 3Department of Health Services Research, Palo Alto Medical

Foundation Research Institute, Palo Alto, CA, USA; 4Department of Medicine, University of California, Los Angeles, Los Angeles, CA, USA;

5Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK; 6Collingwood Health Group, New York Surgery, North Shields,

UK; 7Clinical Governance & Risk department, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK; 8General

Medicine Division, Massachusetts General Hospital, Boston, MA, USA; 9Informed Medical Decisions Foundation, Boston, MA, USA.


 Received August 22, 2011

Revised January 3, 2012

Accepted April 3, 2012

Published online May 23, 2012



Popular Content within this publication 

Shared Decision Making: A Model for Clinical PracticeElwyn, Glyn; Frosch, Dominick; Thomson, Richard; Joseph-Williams, Natalie; Lloyd, Amy; Kinnersley, Paul; Cording, Emma; Tomson, Dave; Dodd, Carole; Rollnick, Stephen; Edwards, Adrian; Barry, Michael 

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