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Comment & Response
February 26, 2014

Patient-Physician Shared Decision Making

Author Affiliations
  • 1Health Dialog, Boston, Massachusetts
  • 2University of Michigan Health System, Ann Arbor
  • 3Northern New England Accountable Care Collaborative, Portland, Maine
JAMA. 2014;311(8):863. doi:10.1001/jama.2013.285157

To the Editor We believe that the Viewpoint by Drs Katz and Hawley1 on shared decision making inaccurately states its premise and misrepresents the evidence about its effects. Katz and Hawley’s position is that the evidence for the effect of shared decision making on medical costs and use is inadequate. In their review of a randomized trial of shared decision making by 2 of us,2,3 they suggested that the large observed decreases in medical and surgical admissions and the associated reduction in costs in the intervention group were a result of clinician-directed decisions rather than patient involvement.