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Shared decision-making
Shared decision-making (SDM) is an approach in which clinicians and patients communicate together using the best available evidence when faced with the task of making decisions. Patients are supported to deliberate about the possible attributes and consequences of options, to arrive at informed preferences in making a determination about the best course of action which respects patient autonomy, as well as ethical and legal norms.
==Original definition and scope==
One of the first instances where the term ''shared decision-making'' was employed was in a report entitled the "President's Commission for the Study of Ethical Problems in Medicine and Biomedical Research."〔(【引用サイトリンク】title=Quality First: Better Health Care for All Americans )〕 This work built on the increasing interest in patient-centredness and an increasing emphasis on recognising patient autonomy in health care interactions since the 1970s.
Charles described a set of principles for shared decision-making, stating “that at least two participants, the clinician and patient be involved; that both parties share information; that both parties take steps to build a consensus about the preferred treatment; and that an agreement is reached on the treatment to implement". These principles rely on an eventual arrival at an agreement but this final principle is not fully accepted by others in the field. The view that it is acceptable to agree to disagree is also regarded as an acceptable outcome of shared decision-making.
抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』
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