1.2.b How does Shared Decision Making Work?
There are a lot of different models for shared decision making. Some are used in the interprofessional context, some focus on the one-to-one clinical encounter, and other models include a third person that contributes to decision making. Here are two examples of different approaches to shared decision making:
The LEARN Model (9)
This model is a good example of a culturally sensitive approach to shared decision making.
The Informed and Shared Decision Making (ISDM) Model (10)
This model is a good example of the degree to which each person is responsible for contributing to the process. You can see this by looking at how much movement each step box takes closer to, or across, the line that separates the physician and patient.
Both of these models convey different messages and prioritize different aspects of the shared decision making but ultimately achieve the same end.
Personal Reflection
Think of some examples in your field of work where there were more than 2 people involved in decision making for clinical care. Can you identify the challenges this creates for people when they have different expectations about a similar process?