JACC. Advances · 2024
JACC: Advances Expert Panel Perspective: Shared Decision-Making in Multidisciplinary Team-Based Cardiovascular Care.
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Perpetua Elizabeth M, Palmer Roseanne, Le Viet T, Al-Khatib Sana M, Beavers Craig J, Beckman Joshua A, Bozkurt Biykem, Coylewright Megan, Lloyd Doherty Caroline, Guibone Kimberly A, Hawkey Marian, Keegan Patricia A, Kirkpatrick James N, Laperle Jessica, Lauck Sandra B, Levine Glenn, Lindman Brian R, Mack Michael J, Price Andrea L, Strong Susan, Wyman Janet F, Youmans Quentin R, Gulati Martha
Аннотация
Shared decision-making (SDM) and multidisciplinary team-based care delivery are recommended across several cardiology clinical practice guidelines. However, evidence for benefit and guidance on implementation are limited. Informed consent, the use of patient decision aids, or the documentation of these elements for governmental or societal agencies may be conflated as SDM. SDM is a bidirectional exchange between experts: patients are the experts on their goals, values, and preferences, and clinicians provide their expertise on clinical factors. In this Expert Panel perspective, we review the current state of SDM in team-based cardiovascular care and propose best practice recommendations for multidisciplinary team implementation of SDM.