Patient autonomy and shared decision making
Increasingly, there is not one fixed treatment plan for lupus and other health conditions. Instead, there are a number of treatments that each have pros and cons.
When using a shared model for decision making, doctors encourage their patients to share personal beliefs, including risk thresholds, to determine appropriate options.
Other clinicians have built models that may help doctors and patients work together. One such model, published in 2012 in the Journal of General Internal Medicine defines a 3-step process for shared decision making:
- Choice talk
- During this phase, doctors share that there are “reasonable options available” for treatment
- Options talk
- Doctors provide additional information on the treatment options and may use other frameworks to help share info
- Decision Talk
- Working with patients, listening to goals, and determining the best path forward based on all information available
In general, these strategies have been used more and more in recent years. And, this seems to coincide with patient preference.
A review conducted in 2015 found that 71% of patients preferred to participate in the decision making process as of 2000. This is an increase from the pre-2000 numbers where only 50% of patients wanted to be involved.
As additional models are created and tested, there will be more research exploring the benefits and risks of this approach.