Implementing Shared Decision Making in the Orthopaedic Practice

Alexandra E. Page, MD, and Ben Moulton, JD, MPH

The process of shared decision making (SDM) should be a patient-centered experience, fostered by collaboration between the patient and physician. Although barriers exist to implementing SDM in an orthopaedic practice, doing so also presents orthopaedists with opportunities (Table 1).

Barriers
Orthopaedics is uniquely suited for SDM but the practice has not been widely adopted. Several implementation barriers contribute to this low penetration, including logistics, a lack of financial incentives to adopt SDM, and the lack of quality, standardized decision aids.

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