Set - Out - English - 2014

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Fifteen minutes
Rev Assoc Med B ras 2014; 60(5):395-397 397
status; adequate information regarding their preferences;
perceived credibility of the information source; clarity in
the language used to describe options; attention to dif-
ferent attributes of a decision such as benefits and harms;
number of options available; valuing of previous expe-
riences in similar situations; affection; description of the
effects in the order in which they occur; analysis of relia-
ble opinions of others; perceived social norms; and me-
dia influence6.
Modalities that lead to rapid, invasive and irreversi-
ble solutions used in the treatment of obesity, which grow
exceeding their applications, occupy the space of absen-
ce or failure of preventive measures and medical treat-
ment.
Reading this walkthrough of shared decision-making
can be done in just fifteen minutes. However, in order to
care for patients who suffer, and health systems that do
not know how to preserve them, medicine is in urgent
need of much more than fifteen minutes of dedication.
The consequences of a poor decision can last more than
fifteen minutes, hours, days, months, years or decades.
References
1. Hebert JR, Allison DB, Archer E, Lavie CJ, Blair SN. Scientific decision
making, policy decisions, and the obesity pandemic. Mayo Clin Proc 2013;
88: 593-604.
2. Institute of Medicine (US) Committee on an Evidence Framework for Obesity
Prevention Decision Making; Kumanyika SK, Parker L, Sim LJ, editors.
Bridging theEvidence Gap in Obesity Prevention: A Framework to Inform
Decision Making.Washington (DC): National Academies Press (US); 2010.
3. Weinstein AL, Marascalchi BJ, Spiegel MA, Saunders JK, Fagerlin A, Parikh
M. Patient Preferences and Bariatric Surgery Procedure Selection; the Need
for Shared Decision-Making. Obes Surg 2014.
4. Epstein RM. Whole mind and shared mind in clinical decision-making.
Patient Educ Couns 2013; 90: 200-6.
5. Elwyn G, Frosch D, Thomson R, Joseph-Williams N, Lloyd A, Kinnersley P,
et al. Shared decision making: a model for clinical practice. J Gen Intern
Med 2012; 27:1361-7.
6. Epstein RM, Gramling RE. What is shared in shared decision making?
Complex decisions when the evidence is unclear. Med Care Res Rev 2013;
70 (1 Suppl): 94S-112S.