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Comment & Response
July 25, 2017

Nonclinical Factors Affecting Shared Decision Making

Author Affiliations
  • 1Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston
  • 2Department of Health Services Research, University of Texas MD Anderson Cancer Center, Houston
JAMA. 2017;318(4):391. doi:10.1001/jama.2017.7841

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.