This report sets out some key potential benefits of shared decision making and to what extent they are being realised without shared decision making, providing a framework and baseline against which the impact of implementing shared decision making can be measured.
This paper defines ‘decision quality’ as the extent to which treatments reflect the considered preferences of well-informed patients and are implemented. It sets out the four main elements involved in the decision-making process to ensure a high quality decision, and how these can be measured. It includes a fully-worked example of how to measure the quality of decision making for knee osteoarthritis, which can provide a template for developing materials for other conditions.
This paper argues that supporting the development and routine use of measures of decision quality will provide opportunities to measurably improvethe quality of decisions, thereby leading to more patient-centered and efficient health care.
This report reviews evidence of the implementation of shared decision making in England and provides a summary of the types of measures that are available.