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October 28, 2009

Patient-Centered Care and Preference-Sensitive Decision Making

Author Affiliations

Author Affiliations: Robert Wood Johnson Clinical Scholars Program, University of Michigan School of Medicine, Ann Arbor (Drs Keirns and Goold); Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor (Drs Keirns and Goold); Bioethics Program, University of Michigan, Ann Arbor (Drs Keirns and Goold); VA Health Services Research and Development Center of Excellence and Department of Ambulatory Care, Ann Arbor VA Health System (Dr Keirns); and Center for Medical Humanities, Compassionate Care, and Bioethics, Departments of Preventive Medicine and Department of Medicine, Stony Brook University, Stony Brook, New York (Dr Keirns).

JAMA. 2009;302(16):1805-1806. doi:10.1001/jama.2009.1550

Over the past 20 years or so, there has been a rise of 2 parallel movements, one toward the explicit use of clinical trial data to guide clinical practice (evidence-based medicine) and the other toward patient empowerment through explicit informed consent, shared decision making, and patient-centered care. Both components have been integrated into models of quality clinical care, but sometimes there are conflicts between evidence- and guideline-driven care and patient-centered care.

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