Patient-Centered Care and Preference-Sensitive Decision Making

October 27, 2009

Over the past 20 years or so, there has been a rise of 2 parallel movements, one toward the explicit use of clinical trial data to guide clinical practice (evidence-based medicine) and the other toward patient empowerment through explicit informed consent, shared decision making, and patient-centered care. Both components have been integrated into models of quality clinical care, but sometimes there are conflicts between evidence- and guideline-driven care and patient-centered care. [Premium (JAMA)]