BMJ Best Practice Podcast

Shared decision making

16 snips
Dec 22, 2025
In this engaging discussion, Emma Doble, the Patient and Public Strategy Editor at BMJ, shares her invaluable insights as an advocate for patient engagement in healthcare. She highlights the importance of shared decision making, emphasizing it as a dialogue between clinicians and patients that respects individual preferences. Emma also outlines tools and resources for both clinicians and patients to facilitate these conversations, tackles barriers to effective communication, and encourages healthcare providers to embrace this collaborative approach for better outcomes.
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INSIGHT

Common Barriers To Shared Decisions

  • Barriers include patient emotions, comprehension limits, family dynamics and conflicting information.
  • Overwhelming or mixed information makes reaching a clear decision much harder for patients.
INSIGHT

Informed Consent Versus Shared Decisions

  • Informed consent means understanding and agreeing, while shared decision making adds collaborative preference exploration.
  • Shared decisions often require patients to seek and discuss their own information and values.
ADVICE

Handle 'Just Tell Me' Patients With Questions

  • If a patient says 'just tell me', still share core information and explore what's important to them.
  • Use that broader conversation to surface values that will guide the clinician's recommendation.
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