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:
- 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.
- 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.
- 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
- Legare F, Stacey D. (2014). An interprofessional approach to shared decision making: What it means and where next? (pp. 131-139). In: TK Woodruff, ML Clayman, KE Waimey (eds.), Oncofertility Communication: Sharing information and building relationships across disciplines. DOI 10.1007/978-1-4614-8235-2_11, NY: Springer.
- Stacey D, Brière N, Robitaille H, Fraser K, Desroches S, Légaré F. (2014) A systematic process for creating and appraising clinical vignettes to illustrate interprofessional shared decision making. J Interprof Care. 2014 Sep;28(5):453-9. doi: 10.3109/13561820.2014.911157. Epub 2014 Apr 28.
- Légaré F, Canada Research Chair in Implementation of Shared Decision Making in Primary Care. Interprofessional approaches to shared decision making in primary care: Advancing theories, frameworks, methods and measurements.
- Légaré F, Stacey D, Gagnon S, Dunn S, Pluye P, Frosch D, Kryworuchko J, Elwyn G, Gagnon MP, Graham ID. (2011). Validating a conceptual model for an inter-professional approach to shared decision making: a mixed methods study. J Eval Clin Pract. Aug;17(4):554-64. doi: 10.1111/j.1365-2753.2010.01515.x. Epub 2010 Aug 3.
- Kryworuchko J, Stacey D, Peterson WE, Heyland DK, Graham ID. (2011). A Qualitative Study of Family Involvement in Decisions about Life Support in the Intensive Care Unit. Am J Hosp Palliat Care. Jul 6. [Epub ahead of print]
- Légaré F, Stacey D, Brière N, Desroches S, Dumont S, Fraser K, Murray MA, Sales A, Aubé D. (2011). A conceptual framework for interprofessional shared decision making in home care: Protocol for a feasibility study. BMC Health Serv Res. Jan 31;11:23.
- Légaré F, Stacey D, Pouliot S, Gauvin FP, Desroches S, Kryworuchko J, Dunn S, Elwyn G, Frosch D, Gagnon MP, Harrison MB, Pluye P, Graham ID. (2011). Interprofessionalism and Shared Decision-Making in Primary Care: A Stepwise Approach towards a New Model. J Interprof Care. Jan;25(1):18-25. Epub 2010 Aug 26.
- Stacey D, Légaré F, Pouliot S, Kryworuchko J, Dunn S. (2010). Shared decision making models to inform an interprofessional perspective on decision making: A theory analysis. Patient Educ Couns. Aug;80(2):164-72. Epub 2009 Nov 30.
Last modified: 2015-04-14.