Patient centred diagnosis: sharing diagnostic decisions with patients in clinical practice
Shared decision making for diagnostic decisions is understudied and differs from treatment decision making. Zackary D Berger and colleagues discuss how uncertainty and stakes should shape the conversation
Patient centred diagnosis is best practised through shared decision making; an iterative dialogue between doctor and patient, which respects a patient’s needs, values, preferences, and circumstances
Shared decision making for diagnostic situations differs fundamentally from that for treatment decisions. This has important implications when considering its practical application
The nature of dialogue should be tailored to the specific diagnostic decision; scenarios with higher stakes or uncertainty usually require more detailed conversations
In 2001, the National Academy of Medicine set out its vision to prioritise patient centred care: to ensure that clinical...