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Interprofessional Shared Decision Making (IP-SDM) Model

The Interprofessional Shared Decision Making Model was designed by an interprofessional team to broaden the perspective of shared decision making beyond the patient-practitioner dyad. It is based on a detailed theory analysis of SDM models, key IP concepts from a systematic review, and a stepwise consensus-building exercise. It was subsequently validated by stakeholders in primary care and other clinical areas.

The IP-SDM model addresses three-levels within the health care system:

  1. Micro level (individual) - the patient presents with a health problem that requires a decision. The patient together with the healthcare team and/or family members take the necessary time to work through a structured process to make an informed, preference-sensitive decision while interacting with one or more health care professionals and family members. The deliberation between those involved should lead to a common understanding at each step of the decision making process.
  2. Meso level (health care teams within an organization) - healthcare professionals on the team who are implicated in the decision being made and includes two unique roles: the initiator of the SDM process and the decision coach.
  3. Macro level (broader policies and social contexts) - the underlying assumption is that an IP approach to SDM within clinical encounters will not occur independently of the influence of factors from the healthcare system level.

The IP-SDM model has been used to guide qualitative studies and in research projects designed to implement an interprofessional approach to SDM in clinical practice.

References discussing the IP-SDM model:

Last modified: 2015-04-14.