Shared medical decision making is a process in which the obstetrician–gynecologist or other health care provider shares with the patient all relevant risk and benefit information on all treatment alternatives and the patient shares all relevant personal information that might make one treatment or side effect more or less tolerable than others.
It can increase patient engagement and reduce risk resulting in improved outcomes, satisfaction, and treatment adherence.
Decision making is a continuum with the obstetrician–gynecologist or other health care provider leading the discussion on one end, and with patients making the decision on the other end. Although medical knowledge is tipped toward the obstetrician–gynecologist or other health care provider end of the continuum, in shared medical decision making a middle ground is sought that incorporates sound medical care and a patient’s personal preferences.
Patient-centered goals should be considered in the decision-making process. Providers should share their clinical judgment on options and benefits.
