Pretty much everyone chats up shared decision making these days. And that is good.
So why isn’t shared decision making standard practice? Well, we know that some docs really don’t want to do it. That was not how they were trained to practice medicine. I get that. When I was in training, my classmates and I were told that we were the Captains of the ship and “the buck stops here” — “You’re in charge, boy.” Luckily, medical education is changing and newer physicians are learning how to be trusted guides instead of dispensers of “the truth.”
But even with the advent of easily accessible medical information on the Internet and tools to empower patients to be full partners in their care, some patients are still reluctant to engage in collaborative discussions with their physicians about their care? Why? Dominick Frosch and his colleagues at the Palo Alto Medical Foundation Research Institute, in a paper published in the May 2012 issue of Health Affairs, shed some light on this issue.
See on www.kevinmd.com