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Shared decision making in health care not beneficial to patient

by Medindia Content Team on  February 6, 2006 at 11:02 AM General Health News   - G J E 4
Shared decision making in health care not beneficial to patient
Sharing your thoughts and discussing the symptoms and treatment benefits with your doctor does not seems to benefit the decision making and treatment. Researchers George W. Saba and Colleagues, University of California, San Francisco found in a study in 18 patients who visited their doctor and shared the decision with their doctor.
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The researchers found that shared decision making between the doctor and patient did not benefit the patient in deciding the symptoms and treatment options and the study result found that 57% of decisions taken through sharing decision had negative influence in understanding the disease and also in the treatment. The decision making seems to be influenced by trust, sentiments and other relationships rather than actual facts of the symptoms and diagnostic tests having a negative impact on decision making of the treatment. The researchers have reported the results of this study in the Annals of Family Medicine.

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Shared decision making (SDM)has shown positive impact on outcomes.SDM is patient centred. Several studies report lower medical errors, reduced medical costs via reduced avoidable investigations & higher patient compliance. SDM is particularly useful in managing chronic illnesses like diabetes.

However, SDM is reported to work well with educated patients. studies show SDM improves patient's knowledge thus helping to better manage their chronic illnesses. In fact it is mutually beneficial to both patients and clinicians.

Closer examination of studies reported in several journals like Health Expectations, Health affairs, Jrnl of Internal Medicine,British jrnl of cancer,Social science in medicine etc. reveal my above stated points.


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