The many benefits of shared decision-making

At my daughter’s orthodontist appointment this week, we were faced with treatment options—neither of which she was thrilled about. There was much to consider: her lifestyle, age, future needs, and the potential outcomes of each option. After being fully informed, we’ll take time to deliberate before making a decision. It’s not a straightforward choice, and there’s no one-size-fits-all solution. This scenario is becoming increasingly common in healthcare and reflects the approach known as shared decision-making.

What is shared decision-making?

Shared decision-making is a collaborative process that allows patients and healthcare providers to make healthcare decisions together. It goes beyond simply informing patients of their options—it’s about creating a genuine partnership where decisions reflect both the medical expertise of clinicians and the personal values and preferences of the patient.

This approach is a shift from the traditional healthcare model, where decisions were often made by doctors without much input from the patient. Instead, shared decision-making acknowledges that patients are experts in their own lives and should be an integral part of their healthcare choices.

Why is shared decision-making important?

In today’s world, patients are more informed and engaged than ever. With access to a wealth of health information, many want to understand their treatment options fully and be involved in making decisions about their care. Shared decision-making meets this need by fostering open dialogue between patients and healthcare providers, ensuring that both parties contribute to the decision-making process.

This collaborative approach has been shown to improve health outcomes, as patients who are involved in decisions about their care are more likely to follow through with treatment plans. It also builds trust, enhances patient satisfaction, and can even reduce anxiety, as patients feel more in control of their health journey.

How shared decision-making works

The process typically involves three key steps:

1. Information exchange: Healthcare providers explain the medical situation, treatment options, risks, and benefits. Patients share their values, preferences, and what’s important to them.

2. Deliberation: Both parties discuss the options, considering the patient’s personal context and how different treatments may align with their life goals.

3. Decision: Together, the patient and healthcare provider choose a treatment plan that reflects both clinical evidence and the patient’s preferences.

This approach not only empowers patients but also helps clinicians provide more personalised care, leading to better patient-provider relationships.

Communication is key

Effective communication is at the core of shared decision-making. It requires healthcare providers to explain complex medical information in a way that is understandable and relevant to patients. Equally, it encourages patients to ask questions and express their concerns openly.

When done well, shared decision-making creates a healthcare experience where patients feel valued and respected. It builds a bridge between medical expertise and the personal knowledge patients have of their own lives.

Ways you can support shared decision-making

Patient Information: Simplify complex treatment options for patients through printed guides and engaging website content.

Interactive decision aids: Digital tools to help patients weigh their options.

Video explainers: Clear, visual guides for understanding medical choices.

Clinician training materials: Equip teams with tools for better patient communication.

Healthcare organisations that embrace shared decision-making will not only improve patient satisfaction and outcomes, but also build deeper trust, foster long-term relationships, and position themselves as leaders in delivering truly patient-centred care.