Shared decision making in patients with diabetes mellitus

dc.contributor.authorSerrano, Valentina
dc.contributor.authorLarrea Mantilla, Laura
dc.contributor.authorRodriguez Gutierrez, Rene
dc.contributor.authorSpencer Bonilla, Gabriela
dc.contributor.authorMalaga, German
dc.contributor.authorHargraves, Ian
dc.contributor.authorMontori, Victor M.
dc.date.accessioned2024-01-10T12:42:35Z
dc.date.available2024-01-10T12:42:35Z
dc.date.issued2017
dc.description.abstractPatients with diabetes mellitus often have several medical problems and carry a burden imposed by their illness and treatment. Health care often ignores the values, preferences and context of patients, leading to treatments that do not fit into patients' overwhelmed lives. Shared Decision Making (SDM) emerges as a way to answer the question: "What's best for the patient?". SDM promotes an empathic conversation between patients and clinicians that integrates the best evidence available with their values, preferences and context. We discuss three SDM approaches for patients with diabetes: one focused on sharing information, another on making choices, and a third one on helping patients and clinicians to talk about how to address the problems of living with diabetes and its comorbidities. Despite the benefits demonstrated in studies conducted in the U.S. and Europe, the implementation of SDM continues to be a challenge. In Latin America, healthcare and socio-economic conditions render the implementation of SDM more challenging. Research aimed to respond to this challenge is necessary. Meanwhile, clinicians can practice SDM by sharing evidence-based information, giving voice to patients' values and preferences in making choices, and creating empathic conversations aimed at decisions aligned with patients' context, dreams, goals, and life expectations.
dc.fechaingreso.objetodigital2024-05-15
dc.format.extent9 páginas
dc.fuente.origenWOS
dc.identifier.eissn0717-6163
dc.identifier.issn0034-9887
dc.identifier.pubmedidMEDLINE:28898341
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/77524
dc.identifier.wosidWOS:000404912900012
dc.information.autorucMedicina;Serrano V;S/I;11709
dc.issue.numero5
dc.language.isoes
dc.nota.accesoSin adjunto
dc.pagina.final649
dc.pagina.inicio641
dc.publisherSOC MEDICA SANTIAGO
dc.revistaREVISTA MEDICA DE CHILE
dc.rightsregistro bibliográfico
dc.subjectDecision Making
dc.subjectDecision Support Techniques
dc.subjectDiabetes Mellitus
dc.subjectEvidence-Based Medicine
dc.subjectCLINICAL-PRACTICE GUIDELINES
dc.subjectMULTIPLE CHRONIC CONDITIONS
dc.subjectCARE
dc.subjectAID
dc.subjectASSOCIATION
dc.subjectUPDATE
dc.subjectMODEL
dc.subjectTRIAL
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleShared decision making in patients with diabetes mellitus
dc.typeartículo
dc.volumen145
sipa.codpersvinculados11709
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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