Safety and Quality > Our Work > Shared Decision Making

The Commission is developing a program of work of shared decision making as a part of its commitment to supporting patient-centred care and to complement our work on reducing unwarranted health care variation and ensuring appropriateness of care.

Shared decision making involves the integration of a patient’s values, goals and concerns with the best available evidence about benefits, risks and uncertainties of treatment, in order to achieve appropriate health care decisions.

It involves clinicians and patients making decisions about the patient’s management together.

In partnership with their clinician, patients are encouraged to consider available screening, treatment, or management options and the likely benefits and harms of each, to communicate their preferences, and help select the course of action that best fits these.

Shared decision making is of increasing interest to policy makers and international researchers. Current research indicates that:

  • patients are less informed and involved in making decisions about their health care than they would like to be
  • shared decision making can improve satisfaction with care and leads to better quality decisions
  • patients using evidence-based decision aids have improved knowledge of the options, more accurate expectations of possible benefits and harms, and feel that they had greater participation in decision making than people receiving usual care
  • better-informed patients make different, often more conservative, less costly choices about treatment, because, it is thought, that information provides a realistic appreciation of likely benefits and risks of treatment and enables decisions about the potential outcomes in a more considered way.

Consultation on Draft Decision Support Tool for Osteoarthritis of the Knee

As part of the Commission’s work on shared decision making, a draft decision support tool for patients who have osteoarthritis of the knee has been developed.

Draft Decision Support Tool for Patients with Osteoarthritis of the Knee (PDF 226KB)

The Commission is committed to developing tools and resources for consumers and clinicians to support shared decision making on key health issues where safety, quality and variation in practice may be of concern. This includes developing resources for consumers and clinicians, including decision support tools to support appropriateness of care.

The draft decision support tool for osteoarthritis of the knee is based on the Osteoarthritis of the Knee Clinical Care Standard. The tool is designed to be used by patients, and with their doctor or another member of their clinical team, to help discuss options, share decisions and plan care.

Feedback is currently being sought on the draft tool and will be critical to its success and implementation.

To provide your feedback click, on the following surveys:

Consumer survey – Decision Support Tool for Patients with OA of the Knee

Clinician survey – Decision Support Tool for Patients with OA of the Knee

Consultation closes: Friday 29 June 2018.


Shared decision making and risk communication

To support clinicians develop and refine their skills in communicating effectively about the benefits and risks of treatment options with patients, the Australian Commission on Safety and Quality in Health Care has developed a 2-hour e-learning module: Helping Patients Make Informed Decisions: Communicating benefits and risks.

Three short videos for clinicians on shared decision making are also available. These provide an overview on shared decision makingchallenge myths about shared decision making in practice and explain how to use patient decision aids and where to find them.

Prior to releasing the open access version of the module, the Commission, in collaboration with the Royal Australian College of General Practitioners (RACGP), produced an online module for doctors on shared decision making and risk communication.  The module is available to RACGP members via the RACGP’s website.

The Commission has also undertaken two environmental scans to consider the content and quality of consumer information about cataract surgery and tonsillectomy in children. The purpose of the reviews was to identify if there was a need for updated or new material to support consumer understanding of their healthcare options.

The reviews identified a number of higher-quality resources that provided comprehensive information about risks, benefits, and options related to cataract surgery and tonsillectomy in children:

Patient Decision Aids

The Commission has produced three patient decision aids on antibiotic use for sore throat, acute bronchitis and middle ear infection.

Resources and publications

Resources and publications on shared decision making.

Webinars on Shared Decision Making

The Commission has produced a series of webinars featuring experts in Shared Decision Making and Patient Decision Aids.

Contact us

Lucia Tapsall, Senior Project Officer