Uncertain evidence and the uniqueness of a patient’s health care issues often make it difficult to identify the best course of care. These instances are becoming increasingly common as more people live longer with multiple chronic conditions and care becomes more complicated. Clinical decisions may involve screening or treatment with new toxic drugs in older patients; timely use of adjuvant, palliative, or pain care; or prioritizing care at the end of life. Shared decision making is essential in the care of patients in these complicated situations. For clinicians, being able to and choosing to spend time on understanding what truly matters to patients when making decisions together is an achievement that makes the work of clinicians meaningful and rewarding.1 Yet many clinicians have insufficient time to engage in shared decision making.
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Pieterse AH, Stiggelbout AM, Montori VM. Shared Decision Making and the Importance of Time. JAMA. Published online April 19, 2019322(1):25–26. doi:10.1001/jama.2019.3785
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