The Challenges and Opportunities for Shared Decision Making Highlighted by COVID-19

The Journal of Allergy and Clinical Immunology. in Practice
Elissa M AbramsMatthew Greenhawt

Abstract

Shared decision making (SDM) is a management paradigm that empowers patients as partners in their own care in a bidirectional exchange of information and values, and optimize the decision-making process. During the current coronavirus disease 2019 pandemic, there is a greater need to encourage participation in the SDM process. The pandemic has created both challenges and opportunities for delivering care, as system adaptations influence the physician-patient relationship. Although social distancing and health service reallocation can interfere with preference for an in-person visit, these measures also provide an avenue to study and implement virtual SDM processes. Communicating risk at a time of heightened uncertainty may pose a barrier to SDM engagement but provides the opportunity to foster a patient-centered approach within a more personalized context. Social media influence during coronavirus disease 2019 has resulted in an "infodemic" but highlights the importance of patient engagement. The pandemic has changed how we deliver care but allows us to re-evaluate common practices and enhance effectiveness of our management strategies. Navigating the uncertainty of subsequent pandemic waves creates confusion about how to safel...Continue Reading

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Citations

Oct 16, 2020·Pediatric Pulmonology·Elissa M AbramsDaniel B Hawcutt
Oct 11, 2020·Kidney International·Dominique E MartinVivekanand Jha
Dec 1, 2020·The Journal of Allergy and Clinical Immunology. in Practice·Elissa M AbramsMatthew Greenhawt
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Feb 4, 2021·Current Opinion in Allergy and Clinical Immunology·S Shahzad MustafaMatthew Greenhawt
Feb 16, 2021·Current Opinion in Pediatrics·Elissa M AbramsMarcus Shaker
Jul 30, 2020·The Journal of Allergy and Clinical Immunology. in Practice·Douglas P MackMatthew Greenhawt
Mar 22, 2021·The Journal of Allergy and Clinical Immunology. in Practice·Elissa M AbramsMatthew Greenhawt
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Jun 21, 2021·The Journal of Allergy and Clinical Immunology. in Practice·Elissa M AbramsMarcus Shaker
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Jul 13, 2021·The Lancet. Respiratory Medicine·Elissa Michele Abrams, Stanley Szefler
Sep 24, 2021·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Michael PatrickDavid R Stukus

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