AI Article Synopsis
- Shared decision-making (SDM) is often seen as the ideal approach in clinical practice, but applying it too rigidly can lead to negative results in specific situations, like antibiotic over-prescription and end-of-life care.
- The article explores these cases to demonstrate how strict SDM may not always yield the best outcomes for patients.
- It suggests incorporating libertarian paternalism strategies—such as default settings, framing, and nudging—as complementary approaches to enhance patient care and decision-making effectiveness.
Article Abstract
While shared decision-making (SDM) is generally considered to be the standard in current clinical practice, strict application of SDM can result in adverse outcomes in certain contexts. This article examines two illustrative cases-antibiotic over-prescription and decision-making at or near the end of life-to highlight how strictly applied SDM can result in suboptimal outcomes. The article continues to describe how strategies from libertarian paternalism, particularly default setting, framing, and nudging, can be valuable tools in supplementing strict applications of SDM, resulting in improved outcomes and patient care on both individual and societal levels.
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| http://dx.doi.org/10.1353/pbm.2022.0038 | DOI Listing |
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