Journal of Anaesthesiology Clinical Pharmacology

REVIEW ARTICLE
Year
: 2020  |  Volume : 36  |  Issue : 3  |  Page : 316--324

Shared decision making in peri-operative medicine: Miles to go in Indian scenario


GV Krishna Prasad 
 Classified Specialist (Anaesthesiology) Military Hospital Kirkee, Pune, Maharashtra, India

Correspondence Address:
Dr. G V Krishna Prasad
Classified Specialist (Anaesthesiology), Military Hospital, Kirkee, Range Hills, Kirkee, Pune - 411 020, Maharashtra
India

Shared Decision Making (SDM) in peri-operative medicine is increasingly encouraged as an ideal model of treatment decision making in the medical encounter. Moreover, it has the potential to improve the quality of the decision-making process for patients and ultimately, patient outcomes. This review focuses on several published literature on SDM in peri-operative medicine, its Implementation, barriers faced by Patient and the Provider, Myths regarding SDM and current scenario of SDM in India. Within the anesthetic community, patient consent is vigorously guided. However, this community suffers from lack of advancements in implementing the patient-focused rather than doctor-focused characteristics of SDM. Out of the several barriers, the most common barrier towards the implementation of SDM is the lack of time from the provider community. Within the anesthesia domain, the consultations discussed directly preceding the surgery do not pursue the customary and highly organized stages of typical outpatient consultations. Under these backgrounds and to be successfully implemented, it becomes imperative to begin the process of SDM pre-operative assessment clinic targeting both the high- and low-risk patients. It is critical to summarise that SDM does not end at the time of anesthesia for the peri-operative healthcare professional, but it gets to carry forward until patient discharge. Therefore, it is carried as the Pinnacle of Patient-Centred Care.


How to cite this article:
Krishna Prasad G V. Shared decision making in peri-operative medicine: Miles to go in Indian scenario.J Anaesthesiol Clin Pharmacol 2020;36:316-324


How to cite this URL:
Krishna Prasad G V. Shared decision making in peri-operative medicine: Miles to go in Indian scenario. J Anaesthesiol Clin Pharmacol [serial online] 2020 [cited 2020 Oct 21 ];36:316-324
Available from: https://www.joacp.org/article.asp?issn=0970-9185;year=2020;volume=36;issue=3;spage=316;epage=324;aulast=Krishna;type=0