@article{9b73940b727a43febeb84ef214fd5c71,
title = "Analysis potential unintended consequences of recent shared decision making policy initiatives",
abstract = "Shared decision making (SDM)—when clinicians and patients make medical decisions together—is moving swiftly from an ethical ideal toward widespread clinical implementation affecting millions of patients through recent policy initiatives. We argue that policy initiatives to promote SDM implementation in clinical practice carry the risk of several unintended negative consequences if limitations in defining and measuring SDM are not addressed. We urge policy makers to include prespecified definitions of desired outcomes, offer guidance on the tools used to measure SDM in the multitude of contexts in which it occurs, evaluate the impact of SDM policy initiatives over time, review that impact at regular intervals, and revise SDM measurement tools as needed.",
author = "Jennifer Blumenthal-Barby and Opel, {Douglas J.} and Dickert, {Neal W.} and Kramer, {Daniel B.} and Edmonds, {Brownsyne Tucker} and Keren Ladin and Peek, {Monica E.} and Jeff Peppercorn and Jon Tilburt",
note = "Funding Information: Jennifer Blumenthal-Barby is supported by the Greenwall Foundation and the Patient-Centered Outcomes Research Institute (PCORI). Douglas Opel reports no relevant conflicts of interest. His research is supported by grants from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD). Neal Dickert reports no commercial interests of relevance to this article. He receives research support from the National Heart, Lung, and Blood Institute; National Institute of Neurological Disorders and Stroke; NICHD; Agency for Healthcare Research and Quality; and the Greenwall Foundation. Daniel Kramer is a consultant to the Circulatory Systems Advisory Panel of the Food and Drug Administration. He, Brownsyne Tucker Edmonds, and Keren Ladin are supported by the Greenwall Faculty Scholars Program. Ladin is also supported by an award from PCORI to study shared decision making in older adults with kidney disease. Monica Peek is supported by grants from the National Institute of Diabetes and Digestive and Kidney Diseases, National Institute on Minority Health and Health Disparities, and the Merck Foundation. Jeff Peppercorn is supported by grants from Pfizer and the Greenwall Foundation, and his spouse is an employee of GlaxoSmithKline. The authors acknowledge the Greenwall Foundation for supporting this endeavor through its support of the Shared Decision Making consortium, a subgroup of the Greenwall Faculty Scholars Program. The authors also acknowledge Sarah Smati and Meredith Trejo for research assistance with literature searches and locating measures for review. No author is a government employee. Moreover, the content of this article is solely the responsibility of the authors and does not necessarily represent the official views of funding agencies. Publisher Copyright: {\textcopyright} 2019 Project HOPE— The People-to-People Health Foundation, Inc.",
year = "2019",
month = nov,
doi = "10.1377/hlthaff.2019.00243",
language = "English (US)",
volume = "38",
pages = "1876--1881",
journal = "Health Affairs",
issn = "0278-2715",
publisher = "Project Hope",
number = "11",
}