Shared Decision-Making and Cardiovascular Health: A Scientific Statement From the American Heart Association.

Dennison Himmelfarb, CR; Beckie, TM; Allen, LA; Commodore-Mensah, Y; Davidson, PM; Lin, G; Lutz, B; Spatz, ES; American Heart Association Council on Cardiovascular and Stroke Nursing,; American Heart Association Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council on Quality of Care and Outcomes Research; Council on Hypertension; Council on the Kidney in Cardiovascular Disease; Council on Lifelong Congenital Heart Disease and Heart Health in the Young; Council on Lifestyle and Cardiometabolic Health; Council on Peripheral Vascular Disease; Council on Epidemiology and Prevention; and Stroke Council,

Shared Decision-Making and Cardiovascular Health: A Scientific Statement From the American Heart Association.

Dennison Himmelfarb, CR Beckie, TM Allen, LA Commodore-Mensah, Y Davidson, PM Lin, G Lutz, B Spatz, ES American Heart Association Council on Cardiovascular and Stroke Nursing, American Heart Association Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council on Quality of Care and Outcomes Research; Council on Hypertension; Council on the Kidney in Cardiovascular Disease; Council on Lifelong Congenital Heart Disease and Heart Health in the Young; Council on Lifestyle and Cardiometabolic Health; Council on Peripheral Vascular Disease; Council on Epidemiology and Prevention; and Stroke Council,

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Publisher:: LIPPINCOTT WILLIAMS & WILKINS
Publication Type:: Journal Article
Citation:: Circulation, 2023, 148, (11), pp. 912-931
Issue Date:: 2023-09-12

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Field	Value	Language
dc.contributor.author	Dennison Himmelfarb, CR
dc.contributor.author	Beckie, TM
dc.contributor.author	Allen, LA
dc.contributor.author	Commodore-Mensah, Y
dc.contributor.author	Davidson, PM
dc.contributor.author	Lin, G
dc.contributor.author	Lutz, B
dc.contributor.author	Spatz, ES
dc.contributor.author	American Heart Association Council on Cardiovascular and Stroke Nursing,
dc.contributor.author	American Heart Association Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council on Quality of Care and Outcomes Research; Council on Hypertension; Council on the Kidney in Cardiovascular Disease; Council on Lifelong Congenital Heart Disease and Heart Health in the Young; Council on Lifestyle and Cardiometabolic Health; Council on Peripheral Vascular Disease; Council on Epidemiology and Prevention; and Stroke Council,
dc.date.accessioned	2024-01-30T01:47:54Z
dc.date.available	2024-01-30T01:47:54Z
dc.date.issued	2023-09-12
dc.identifier.citation	Circulation, 2023, 148, (11), pp. 912-931
dc.identifier.issn	0009-7322
dc.identifier.issn	1524-4539
dc.identifier.uri	http://hdl.handle.net/10453/175049
dc.description.abstract	Shared decision-making is increasingly embraced in health care and recommended in cardiovascular guidelines. Patient involvement in health care decisions, patient-clinician communication, and models of patient-centered care are critical to improve health outcomes and to promote equity, but formal models and evaluation in cardiovascular care are nascent. Shared decision-making promotes equity by involving clinicians and patients, sharing the best available evidence, and recognizing the needs, values, and experiences of individuals and their families when faced with the task of making decisions. Broad endorsement of shared decision-making as a critical component of high-quality, value-based care has raised our awareness, although uptake in clinical practice remains suboptimal for a range of patient, clinician, and system issues. Strategies effective in promoting shared decision-making include educating clinicians on communication techniques, engaging multidisciplinary medical teams, incorporating trained decision coaches, and using tools (ie, patient decision aids) at appropriate literacy and numeracy levels to support patients in their cardiovascular decisions. This scientific statement shines a light on the limited but growing body of evidence of the impact of shared decision-making on cardiovascular outcomes and the potential of shared decision-making as a driver of health equity so that everyone has just opportunities. Multilevel solutions must align to address challenges in policies and reimbursement, system-level leadership and infrastructure, clinician training, access to decision aids, and patient engagement to fully support patients and clinicians to engage in the shared decision-making process and to drive equity and improvement in cardiovascular outcomes.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	LIPPINCOTT WILLIAMS & WILKINS
dc.relation.ispartof	Circulation
dc.relation.isbasedon	10.1161/CIR.0000000000001162
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1102 Cardiorespiratory Medicine and Haematology, 1103 Clinical Sciences, 1117 Public Health and Health Services
dc.subject.classification	Cardiovascular System & Hematology
dc.subject.classification	3201 Cardiovascular medicine and haematology
dc.subject.classification	3202 Clinical sciences
dc.subject.classification	4207 Sports science and exercise
dc.subject.mesh	Humans
dc.subject.mesh	American Heart Association
dc.subject.mesh	Decision Making
dc.subject.mesh	Decision Making, Shared
dc.subject.mesh	Patient Participation
dc.subject.mesh	Communication
dc.subject.mesh	Humans
dc.subject.mesh	Communication
dc.subject.mesh	Decision Making
dc.subject.mesh	Patient Participation
dc.subject.mesh	American Heart Association
dc.subject.mesh	Decision Making, Shared
dc.subject.mesh	Humans
dc.subject.mesh	American Heart Association
dc.subject.mesh	Decision Making
dc.subject.mesh	Decision Making, Shared
dc.subject.mesh	Patient Participation
dc.subject.mesh	Communication
dc.title	Shared Decision-Making and Cardiovascular Health: A Scientific Statement From the American Heart Association.
dc.type	Journal Article
utslib.citation.volume	148
utslib.location.activity	United States
utslib.for	1102 Cardiorespiratory Medicine and Haematology
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	closed_access	*
dc.date.updated	2024-01-30T01:47:53Z
pubs.issue	11
pubs.publication-status	Published
pubs.volume	148
utslib.citation.issue	11

Abstract:

Shared decision-making is increasingly embraced in health care and recommended in cardiovascular guidelines. Patient involvement in health care decisions, patient-clinician communication, and models of patient-centered care are critical to improve health outcomes and to promote equity, but formal models and evaluation in cardiovascular care are nascent. Shared decision-making promotes equity by involving clinicians and patients, sharing the best available evidence, and recognizing the needs, values, and experiences of individuals and their families when faced with the task of making decisions. Broad endorsement of shared decision-making as a critical component of high-quality, value-based care has raised our awareness, although uptake in clinical practice remains suboptimal for a range of patient, clinician, and system issues. Strategies effective in promoting shared decision-making include educating clinicians on communication techniques, engaging multidisciplinary medical teams, incorporating trained decision coaches, and using tools (ie, patient decision aids) at appropriate literacy and numeracy levels to support patients in their cardiovascular decisions. This scientific statement shines a light on the limited but growing body of evidence of the impact of shared decision-making on cardiovascular outcomes and the potential of shared decision-making as a driver of health equity so that everyone has just opportunities. Multilevel solutions must align to address challenges in policies and reimbursement, system-level leadership and infrastructure, clinician training, access to decision aids, and patient engagement to fully support patients and clinicians to engage in the shared decision-making process and to drive equity and improvement in cardiovascular outcomes.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/175049