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Studies in the USA and Europe have demonstrated considerable diversity of practice and opportunities for improving autonomy, patient centred decision making, and quality of end-of-life care [ 28, 29].
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We make the tacit knowledge [ 22] used by generalist practitioners to guide person-centred decision making transparent, and thus open to critical review.
These varied experiences will contribute to a model usable in everyday life that will facilitate person-centred decision making by patients with long-term illness and their significant others.
Final search terms included 'heart failure' AND ('patient-centred care', OR 'shared decision making' OR 'self-care' OR 'patient empowerment') AND ('quality of life' OR 'communication' OR symptoms).
Whilst there has been a movement around 'patient expertise', patient-centred care and 'shared decision making' [ 79– 81], there have also been questions around whether choice 'really' exists for vulnerable, marginalised and/or low income groups [ 29, 82, 83].
The mean scores for overall communication, patient centred communication (PCC) and shared decision making (SDM) were all around 2 on the scale that ranged from 0 to 6 (table 1).
Patient-centred decision making is associated with improved health care outcomes [ 19].
We therefore propose that the distinct and defining component of the generalist, whole-person focused therapeutic approach, is defined by the principle of person-centred decision making which recognises health as a resource for living and not an end in itself [ 23].
Demonstrating a patient centred approach to management using collaborative decision making 27.
Interventions to improve patient-centred care through shared decision making (which requires an understanding of patient decision making) have demonstrated a decrease in the uptake of preference-based elective operations, but no studies have been conducted in knee arthroplasty surgery.
At the heart of patient centred medicine is the necessity for shared decision making.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com