RT Journal
A1 Youm, Jiwon
A1 Chenok, Kate
A1 Belkora, Jeff
A1 Chan, Vanessa
A1 Bozic, Kevin J.
T1 The Emerging Case for Shared Decision Making in Orthopaedics
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2012
FD October 17
VO 94
IS 20
SP 1907
OP 1912
DO 
UL http://dx.doi.org/
AB 
The Institute of Medicine outlined a standard for patient-centered care in its seminal publication Crossing the Quality Chasm1. Patient-centered care has since been the centerpiece of health-care reform in the U.S. Shared decision-making interventions, which include decision aids and communication aids, are a formal embodiment of this philosophy. While the concept of shared decision making and its relevance to orthopaedics have been well documented, and despite evidence that shows shared decision-making tools to be effective, shared decision making has not been widely adopted by orthopaedists. In this article, benefits of shared decision making, barriers to adoption and implementation of shared decision making, and potential ways to encourage adoption of shared decision making are outlined from multiple perspectives: patient, provider, and payer-purchaser. Additionally, resources for adoption of shared decision making into clinical practice are provided. Finally, opportunities and incentives to adopt shared decision making in orthopaedics are discussed.