Intended for healthcare professionals


Full engagement in health

BMJ 2005; 330 doi: (Published 27 January 2005) Cite this as: BMJ 2005;330:255

Shared decision making requires education

  1. Jill E Thistlethwaite (, associate professor in general practice and rural medicine
  1. James Cook University, Townsville, QLD 4811, Australia

EDITOR—Coulter and Rozansky's point that full engagement in health needs to begin in primary care is a timely reminder that the move towards patient partnership and shared decision making (the focus of a BMJ issue in 1997) is stalling.1

The results of the Commonwealth Fund's study is not surprising, and I postulate that there are at least two fundamental …

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