BMJ Best Practice Podcast

Shared decision making

16 snips
Dec 22, 2025
In this engaging discussion, Emma Doble, the Patient and Public Strategy Editor at BMJ, shares her invaluable insights as an advocate for patient engagement in healthcare. She highlights the importance of shared decision making, emphasizing it as a dialogue between clinicians and patients that respects individual preferences. Emma also outlines tools and resources for both clinicians and patients to facilitate these conversations, tackles barriers to effective communication, and encourages healthcare providers to embrace this collaborative approach for better outcomes.
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INSIGHT

Shared Decision Making As A Conversation

  • Shared decision making is a conversation that combines clinician knowledge with the patient's preferences and context.
  • It ensures patients understand what they're signing up for and live with the consequences of care decisions.
ADVICE

Bring Evidence Into The Conversation

  • Use evidence resources so clinicians can explain options, outcomes and risks clearly to patients.
  • Give patients the full picture so they can weigh pros and cons during the shared conversation.
ANECDOTE

Choosing An Insulin Pump

  • Emma described using patient decision tools to choose an insulin pump and to prepare questions for her consultation.
  • The tools helped her reflect on priorities and improved the appointment's usefulness.
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