Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Comment
  • Published:

Shared decision-making to design care that fits for each patient

Nature Reviews Disease Primers volume 10, Article number: 32 (2024) Cite this article

Subjects

In shared decision-making, patients and clinicians work together to make care decisions. This method of care is ethically desirable and practically feasible and may be effective in making care fit: forming plans of care that maximally respond to the patient’s situation and priorities while minimally disrupting their lives.

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

Fig. 1: Efforts of designing care that fits for each patient.

References

  1. Stiggelbout, A. M., Pieterse, A. H. & de Haes, J. C. J. M. Shared decision making: concepts, evidence, and practice. Patient Educ. Couns. 98, 1172–1179 (2015).

    Article  CAS  PubMed  Google Scholar 

  2. van der Horst, D. E. M., Garvelink, M. M., Bos, W. J. W., Stiggelbout, A. M. & Pieterse, A. H. For which decisions is shared decision making considered appropriate? - A systematic review. Patient Educ. Couns. 106, 3–16 (2023).

    Article  PubMed  Google Scholar 

  3. Couët, N. et al. Assessments of the extent to which health-care providers involve patients in decision making: a systematic review of studies using the OPTION instrument. Health Expect. 18, 542–561 (2015).

    Article  PubMed  Google Scholar 

  4. Scheibler, F. et al. Patient-reported effects of hospital-wide implementation of shared decision-making at a university medical centre in Germany: a pre-post trial. BMJ Evid. Based Med. 29, 87–95 (2023).

    Article  PubMed Central  Google Scholar 

  5. van Veenendaal, H. et al. Shared decision-making and the duration of medical consultations: a systematic review and meta-analysis. Patient Educ. Couns. 107, 107561 (2023).

    Article  PubMed  Google Scholar 

  6. Keij, S. M. et al. How are patient-related characteristics associated with shared decision-making about treatment? A scoping review of quantitative studies. BMJ Open 12, e057293 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  7. Shay, L. A. & Lafata, J. E. Where is the evidence? A systematic review of shared decision making and patient outcomes. Med. Decis. Making 35, 114–131 (2015).

    Article  PubMed  Google Scholar 

  8. Stacey, D. et al. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst. Rev. 4, CD001431 (2017).

    PubMed  Google Scholar 

  9. Dobler, C. C. et al. Impact of decision aids used during clinical encounters on clinician outcomes and consultation length: a systematic review. BMJ Qual. Saf. 28, 499–510 (2019).

    Article  PubMed  Google Scholar 

  10. Ruissen, M. M. et al. Problem-based shared decision-making in diabetes care: a secondary analysis of video-recorded encounters. BMJ Evid. Based Med. 28, 157–163 (2023).

    Article  PubMed  PubMed Central  Google Scholar 

  11. Kunneman, M. et al. Making care fit manifesto. BMJ Evid. Based Med. 28, 5–6 (2023).

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Medical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands

    Marleen Kunneman

  2. Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN, USA

    Marleen Kunneman

Authors
  1. Marleen Kunneman
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Marleen Kunneman.

Ethics declarations

Competing interests

The author declares no competing interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kunneman, M. Shared decision-making to design care that fits for each patient. Nat Rev Dis Primers 10, 32 (2024). https://doi.org/10.1038/s41572-024-00522-0

Download citation

  • Published:

  • DOI: https://doi.org/10.1038/s41572-024-00522-0

Search

Advanced search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing