Title

The connection between evidence-based medicine and shared decision making

Date of this Version

10-1-2014

Document Type

Journal Article

Publication Details

Citation only

Hoffman, T., Montori, V., Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. The Journal of the American Medical Association. 312(13), 1295-1296.

Access the journal

© Copyright, The Journal of the American Medical Association, 2013

ISSN

0098-7484

Abstract

Evidence-based medicine (EBM) and shared decision making (SDM) are both essential to quality health care, yet the interdependence between these 2 approaches is not generally appreciated. Evidence-based medicine should begin and end with the patient: after finding and appraising the evidence and integrating its inferences with their expertise, clinicians attempt a decision that reflects their patient’s values and circumstances. Incorporating patient values, preferences, and circumstances is probably the most difficult and poorly mapped step—yet it receives the least attention. This has led to a common criticism that EBM ignores patients’ values and preferences—explicitly not its intention.

 

This document has been peer reviewed.