SHARED DECISION-MAKING AND ORAL- MAXILLOFACIAL SURGERY PRACTICE
Authors:
Angeliki Anna Gkinosati1, Persefoni Lambrou2, Zoe Nicolaou3, Elpida-Niki Emmanouil Nikoloussi4
Affiliation:
1 Scientific Collaborator, Department of Dentistry, School of Dentistry, European University Cyprus, Nicosia, Cyprus
2 Dental Student, School of Dentistry, European University Cyprus, Nicosia, Cyprus
3 Cyprus Cranio Maxillo Facial Center, Limassol, Cyprus
4 Professor, Histology-Embryology, Oral Pathology, Department of Dentistry, School of Dentistry, European University Cyprus, Nicosia, Cyprus
Doi:
ABSTRACT:
Introduction: Shared decision-making (SDM) empowers patients to actively participate in clinical decisions. It is a collaborative decision-making process between the patient and provider for preference-sensitive healthcare-related decisions. A fundamental concept underlying SDM is the recognition that every patient is unique and has a right to select the preferred treatment options. The role of the physician is to provide an expert opinion on the options available as well as demonstrate the evidence for (and against) each.
Objectives: To explain the concept and clinical implementation of the shared-decision- making model in the practice of maxillofacial surgery.
Materials and Methods: An electronic search of the PubMed database was conducted to identify relevant studies, in English, from 2010 to present. The following keywords “maxillofacial surgery” and “shared decision making” were entered into the search engine.
Results: The SDM process allows the patient to have an input in the treatment decision. Research showed that the benefits of SDM include increased patient satisfaction, improved communication between patients and providers, decreased perioperative anxiety, cost savings, decreased litigation and better patient comprehension of risks. Informed consent has now become the basis of shared decision-making. Any serious conversation between patients and surgeons must incorporate the patients’ unique values, beliefs, and experiences that shape their expectations of the care to be provided.
Conclusion: The success of SDM reflects its potential to enhance patient care as it acts as a tremendous tool for treatment planning. Patients appreciate the autonomy of consulting with their surgeon and reaching a well-informed decision based on the best available evidence. With more recognition of formalized SDM tools and processes, providers and healthcare systems can expect patients to continue taking more active roles in the development of treatment plans.
KEY WORDS: Shared decision-making, Oral and Maxillofacial Surgery
Authors:
Angeliki Anna Gkinosati1, Persefoni Lambrou2, Zoe Nicolaou3, Elpida-Niki Emmanouil Nikoloussi4
Affiliation:
1 Scientific Collaborator, Department of Dentistry, School of Dentistry, European University Cyprus, Nicosia, Cyprus
2 Dental Student, School of Dentistry, European University Cyprus, Nicosia, Cyprus
3 Cyprus Cranio Maxillo Facial Center, Limassol, Cyprus
4 Professor, Histology-Embryology, Oral Pathology, Department of Dentistry, School of Dentistry, European University Cyprus, Nicosia, Cyprus
Doi:
ABSTRACT:
Introduction: Shared decision-making (SDM) empowers patients to actively participate in clinical decisions. It is a collaborative decision-making process between the patient and provider for preference-sensitive healthcare-related decisions. A fundamental concept underlying SDM is the recognition that every patient is unique and has a right to select the preferred treatment options. The role of the physician is to provide an expert opinion on the options available as well as demonstrate the evidence for (and against) each.
Objectives: To explain the concept and clinical implementation of the shared-decision- making model in the practice of maxillofacial surgery.
Materials and Methods: An electronic search of the PubMed database was conducted to identify relevant studies, in English, from 2010 to present. The following keywords “maxillofacial surgery” and “shared decision making” were entered into the search engine.
Results: The SDM process allows the patient to have an input in the treatment decision. Research showed that the benefits of SDM include increased patient satisfaction, improved communication between patients and providers, decreased perioperative anxiety, cost savings, decreased litigation and better patient comprehension of risks. Informed consent has now become the basis of shared decision-making. Any serious conversation between patients and surgeons must incorporate the patients’ unique values, beliefs, and experiences that shape their expectations of the care to be provided.
Conclusion: The success of SDM reflects its potential to enhance patient care as it acts as a tremendous tool for treatment planning. Patients appreciate the autonomy of consulting with their surgeon and reaching a well-informed decision based on the best available evidence. With more recognition of formalized SDM tools and processes, providers and healthcare systems can expect patients to continue taking more active roles in the development of treatment plans.
KEY WORDS: Shared decision-making, Oral and Maxillofacial Surgery