Andrew Pastor M.D.

Orthopedic Shoulder and Elbow Surgeon. Engineer. Edmonds, Washington

Shared Decision Making

 

Definition of shared decision-making:

Together, patients and the health care team clarify all acceptable options, ensure that both parties are well informed, and choose a course of care consistent with the patient’s values and preferences in the context of the best available medical evidence. In other words: Helping patients evaluate all available options—weigh their personal values, goals and priorities against unbiased medical evidence—in order to make informed decisions at every stage of their care. 

I strongly believe that shared decision making allows the patient and physician to achieve the best possible outcomes.

My Approach to Shared Decision Making

  • I, as the physician, present an unbiased view of the pros and cons for all options, including “do nothing.” This may require the patient to do homework (read about a treatment, watch a video, etc.) and then return for further discussion.

  • The patient tells me about personal factors that might make one option seem better than another. These include personal values, goals, preferences and circumstances.

  • Together, the patient and I use this information to decide which option best reflects the patient’s needs and values.