Definitions
What is shared decision-making?
A collaborative process between patients and healthcare providers that incorporates clinical evidence and patient preferences
Which of the following is NOT a benefit of SDM?
A. reducing the gap in treatment for patients who struggle to navigate
B. increasing costs
c. Enhancing patient satisfaction
d. enhancing patient commitment during treatment
B. Increasing costs
What is the most common barrier to SDM mentioned by healthcare providers?
Limited Time and high patient volume
Providers receive SDM training in medical school.
False
If a patient asks about surgery risks and alternatives before agreeing, what are they practicing?
Shared-decision Making
In SDM, who are the two main parties involved in making healthcare decisions?
The patient and the healthcare provider.
Patients who observe shared decision making are more likely to choose less invasive options.
True
Name two major time-related challenges of SDM?
Limited consultation time in clinics and providers overfilled schedule
What 20th-century healthcare trend that we discussed in THE BEGINNING OF SEMESTER does SDM directly oppose by focusing on individualized care?
“Fordism” the fragmented, assembly-line approach to healthcare
A provider only explains benefits of a treatment but skips risks and alternatives. What SDM tool could help them improve?
BRAN method
What does the BRAN protocol stand for?
Benefits, Risks, Alternative and Nothing
How does SDM impact treatment adherence?
Patients are more likely to follow through with treatments they helped choose.
How does low health literacy affect SDM?
Patients may struggle to understand options or ask informed questions
Which approach do videos, pamphlets, brochures and interactive websites come under?
Decision aids
A mother notices her child’s symptoms worsening, but doctors dismiss her. What SDM failure does this represent?
Failure to listen and include family engagement
What does 'informed patient choice' mean?
Patients making healthcare decisions with full understanding of risks, benefits, and alternatives.
Name one system-level benefit of SDM for healthcare organizations.
It improves quality of care, reduces malpractice risk, and supports patient-centered outcomes.
How do traditional reimbursement systems make SDM difficult to implement?
Most U.S. reimbursement systems are fee-for-service, meaning providers are paid per visit or procedure, not for time spent engaging in meaningful patient discussions.
Which approach for SDM involves workshops, role-playing, and blended learning?
You’re a provider with limited time but want to apply SDM, what’s one practical step you could take?
Use decision aids such as brochures or pamphlets
What does the SHARE approach stand for?
Seek your patients participation, Help your patient explore and compare treatment options, Assess your patients values and preferences, Reach a decision with your patient and Evaluate your patients decision
Which benefit does a patient who is conflicted about whether they should go to a Sports medicine doctor or a Orthopedic surgeon due to their knee injury fall under?
Reducing the gap in treatment for patients who struggle to navigate
Why do clinicians sometimes avoid SDM when treatment options are complex or uncertain?
They may default to their own judgment instead of engaging patients.
This 2010 U.S. law helped embed Shared Decision-Making into national health policy by emphasizing patient engagement, care coordination, and quality improvement.
Affordable Care Act 2010
A cardiologist uses the SHARE approach during a consultation about whether to implant a pacemaker. The patient decides to wait after discussing the risks, challenges, and alternatives. Which SHARE step does this decision-making process represent?
Steps 4 & 5, reaching and evaluting patients decision