Patient and Clinician Views on Shared Decision-Making
Preference for shared decision-making was nearly universal among patients and clinicians. However, priorities differed significantly. Patients more frequently emphasized quality of life (81% vs. 54%) and efficacy of therapy (42% vs. 29%), whereas clinicians prioritized risk of disease progression (67% vs. 30%). Although 92% of clinicians reported eliciting patient values, only 75% of patients perceived that this occurred.
There is a discordance in treatment priorities between patients and clinicians, suggesting a gap between intent and execution of shared decision-making.
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