The move to shared decision-making between clinicians and patients includes treatment for psychiatric and emotional problems. Consider this study in JAMA of anti-depressant use in primary care using a cluster randomized trial of a “Depression Medication Choice (DMC) encounter decision aid.”
The conclusions:
“The DMC decision aid helped primary care clinicians and patients with moderate to severe depression select antidepressants together, improving the decision-making process without extending the visit. On the other hand, DMC had no discernible effect on medication adherence or depression outcomes. By translating comparative effectiveness into patient-centered care, use of DMC improved the quality of primary care for patients with depression.”
