Shared decision making as part of value based care: New U.S. policies challenge our readiness

Abstract

Shared decision making in the United States is increasingly being recognized as part of value-based care. During the last decade, several state and federal initiatives have linked shared decision making with reimbursement and increased protection from litigation. Additionally, private and public foundations are increasingly funding studies to identify best practices for moving shared decision making from the research world into clinical practice. These shifts offer opportunities and challenges for ensuring effective implementation.

Keywords: Gesundheitspolitik; Patientenorientierung; Qualität; health policy; informed consent; informierte Einwilligung; partizipative Entscheidungsfindung; patient engagement; quality; shared decision making; value-based care; wertorientierte Versorgung.