Intended for healthcare professionals

Letters Shared decision making

Shared decision making: doctors have expertise that patients want or need

BMJ 2020; 368 doi: (Published 15 January 2020) Cite this as: BMJ 2020;368:m128
  1. Robert Dingwall, consulting sociologist and professor of sociology1,
  2. Alison Pilnick, professor of language, medicine, and society2
  1. 1Nottingham Trent University, Nottingham NG1 4FQ, UK
  2. 2University of Nottingham, Nottingham, UK
  1. robert.dingwall{at}

The basic problem with shared decision making is that it has always been a matter of ideology rather than evidence.1 As Gulbrandsen points out in his response,2 shared decision making has paid very little attention to the substantial body of research on doctor-patient interactions that has been generated since the 1970s when audio and later video …

View Full Text

Log in

Log in through your institution


* For online subscription