To the Editor Dr Spatz and colleagues offered recommendations for effective shared decision making, highlighting clinician engagement.1 A major challenge for clinicians is addressing factors that significantly affect a patient’s decision beyond the commonly compared clinical benefits and harms of treatment options. Key nonclinical factors can influence a treatment’s accessibility and, subsequently, its preference.
Smith GL, Volk RJ. Nonclinical Factors Affecting Shared Decision Making. JAMA. 2017;318(4):391. doi:10.1001/jama.2017.7841