1.4 Allow Time for Consideration: An PCDM Key Element

Although most people have difficulty making healthcare decisions quickly, sometimes the situation calls for an urgent decision. Even in these instances, people want time to reflect on and react to the options that are presented to them (16). A large community-based participatory action research project conducted in British Columbia found that clients from diverse socio-cultural, geographic, and economic backgrounds held back their questions if their provider seemed rushed; if they had a difference of opinion with their care provider about care for themselves or their newborn; or if they thought the provider might think they were being difficult. These experiences made participants  score significantly lower on two quality measures, the Mothers Autonomy in Decision Making (MADM) scale and the Mothers On Respect (MOR) index.

When engaging in shared decision making conversations, check on the person’s need for time to reflect. People may want time to consult with family, friends, or their community. They may also need time to review the options being presented, and may want to do their own research into the matter. Having time to reflect may lead to more questions that in turn will require a further round of clarification and discussion about options and decisions to be made.


PERSONAL REFLECTION

Think about the last time you had an appointment with a healthcare provider when you had a discussion about a particular health concern or therapy.