{"id":31563,"date":"2014-05-15T11:00:14","date_gmt":"2014-05-15T10:00:14","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/bmj\/?p=31563"},"modified":"2014-05-15T16:54:45","modified_gmt":"2014-05-15T15:54:45","slug":"the-bmj-today-barriers-to-shared-decision-making","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/bmj\/2014\/05\/15\/the-bmj-today-barriers-to-shared-decision-making\/","title":{"rendered":"The BMJ Today: Barriers to shared decision making"},"content":{"rendered":"<p><a href=\"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2014\/04\/tinuke.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-31364\" src=\"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2014\/04\/tinuke.jpg\" alt=\"tinuke\" width=\"160\" height=\"130\" \/><\/a>A research study published online in the journal <em>Cancer<\/em> has suggested that the rate of invasive cervical cancer in the United States is much higher than had been previously thought. <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g3296\">The study<\/a>, conducted by Anne F Rositch, of the University of Maryland School of Medicine in Baltimore, and Patti Gravitt, of the Johns Hopkins Bloomberg School of Public Health, also in Baltimore, concludes that the incidence of cervical cancer among all women with an intact cervix did not decline after menopause, and actually increased\u2014particularly among African American women. With this in mind, there are of course concerns about the cessation of routine cervical cancer screening, which guidelines currently advise should be offered until age 65.<!--more--><\/p>\n<p>Anton E Joseph <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g3312\">recounts his experiences<\/a> of working in Sri Lanka during the 1960s, which included the task of verifying deaths at executions by hanging and, ironically, performing autopsies on the bodies after they were hanged. In providing his own personal account of capital punishment, Joseph questions why we are spending time trying <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g3225\">to find ways to make executions humane<\/a>, and instead argues that it should be abolished in its entirety.<\/p>\n<p>There is also a <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g3178\">thought provoking analysis paper<\/a> on the shared decision making process, which\u00a0evaluates the different barriers that need to be addressed in order to improve\u00a0the current situation. The paper theorises that \u201cachieving shared decision making in routine practice will require interventions targeted at both clinicians and patients.\u201d From my own experience in trying to have input into my medical care, I tend to agree with them<\/p>\n<p><em><strong>Tinuke Bernard<\/strong>\u00a0is assistant editor, web production, The BMJ<\/em>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A research study published online in the journal Cancer has suggested that the rate of invasive cervical cancer in the United States is much higher than had been previously thought. The study, conducted by Anne F Rositch, of the University of Maryland School of Medicine in Baltimore, and Patti Gravitt, of the Johns Hopkins Bloomberg [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/bmj\/2014\/05\/15\/the-bmj-today-barriers-to-shared-decision-making\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[5750],"tags":[],"class_list":["post-31563","post","type-post","status-publish","format-standard","hentry","category-the-bmj-today"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/31563","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=31563"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/31563\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=31563"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=31563"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=31563"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}