Shared Decision Making Model
Shared decision making model article by Stacey et al. is an article written to describe the types of shared decision making models as it relates to other major concepts. Those major concepts that are explored in the paper shows show the SDM relates to the aspect of the interprofessional collaboration in the clinical practice. This paper clearly shows the fact that 21st century healthcare management now moves to the area of the patient centered care. This is what distinguishes the models. The area of the SDM depicts the importance of the health professionals especially in the areas of the patient management. This management area describes healthcare professional’s respect to the patients’ health needs. It also helps describe the effects that are related to making the right clinical decision. Those decisions are that which are made for and by the patients to provide various forms of health choices which designed for any of the patients that are involved in the process. The essence of the design is related to the fact that patients are allowed to have their important patient values to be focused upon by the designed models.
We also need to see another aspect of the paper which considered the importance of integrating the principles of both SDM and interprofessional collaboration into the clinical practice. More so, it was stated by the Stacey et al., in the paper that some collaborations and principle by the SDM are noted. These collaborations and principles are considered to be somewhat hard in the forms of integration that were found to be related. That integration was also that which has some forms of benefits that are associated with the integration.
The core part of the shared decision making model paper relates to some core concepts that are categorized into different themes. Those themes are found to be related to the main features of shared decision making process which are equipoise, knowledge transfer, expression, deliberation, the decision and implementation of the decision.
The other themes are described in the paper are the; individual involved in SDM, factors influencing the SDM process and outcomes of the SDM process. Those core concepts of the SDM process that influences it are; establishing the partnership, healthcare system policies, access to health information, availability of decision support intervention and access to health services. The individuals involved are the patient, primary practitioner and decision coach. At the outcomes of the shared decision making models, several list was made such as; the patient level outcomes, relationship level outcomes, practitioner outcomes and healthcare system outcomes.
This paper also has an aspect which explained the role or use of the theory extraction tool, how such tool was developed for the purpose of making an explanatory analysis of the knowledge based shared decision making models in the health sector. That tool was also considered to analyze the behavior of the health professionals. Important values relating to the theory of the extraction tools relates more, to various forms of modification especially that which relates to changing of the topic. The topic is that which is stated to be based on the knowledge translation in the areas of the SDM.
The extraction tool is also listed to also allow modifications especially in the areas of adding clinical context and applicability of the Interprofessional collaboration. These changes helps in making a major add towards the SDM model. It was also stated that the tool was used to make various categories of models. Those new models are then various forms of information to be derived. Those categories are: the origins of the model, meaning, development process, parsimony, logical consistency, testability and relevance to Interprofessional collaboration and clinical practice.
Stacey et al., (2010). Shared decision making models to inform an interprofessional perspective on decision making: A theory analysis. Medical Decision Making. Patient Education and Counseling 80 (2010) 164-172.