Enhancing Shared Decision‐Making in Metabolic and Bariatric Surgery: A Multi‐System Implementation and Evaluation
Implementation of SDM tools had mixed results across the sites. Implementation was associated with an increase in referrals and surgery at KPWA but not at UPMC. The perceived quality of SDM conversations also declined. Future efforts should focus on incorporating all weight management options, including medications and lifestyle interventions.
Authors
- Gary S. Fischer (ORCID: https://orcid.org/0000-0001-7671-207X)
- Casey Luce
- Neely Williams (ORCID: https://orcid.org/0000-0001-8870-224X)
- Joanna Eavey
- Jane Anau (ORCID: https://orcid.org/0000-0003-0527-4556)
- Anita P. Courcoulas (ORCID: https://orcid.org/0000-0002-4973-7869)
- Diana Stilwell (ORCID: https://orcid.org/0000-0002-3520-0462)
- Bestoun Ahmed
- Glyn Jones Elwyn (ORCID: https://orcid.org/0000-0002-0917-6286)
- Clarissa Hsu (ORCID: https://orcid.org/0000-0002-4847-5596)
- Kathleen M. McTigue (ORCID: https://orcid.org/0000-0002-0752-1576)
- Christopher R. Daigle (ORCID: https://orcid.org/0000-0002-6449-0374)
- David Arterburn (ORCID: https://orcid.org/0000-0002-5208-8492)
- Ali Tavakkoli (ORCID: https://orcid.org/0000-0002-7430-1848)
- Robert Wellman (ORCID: https://orcid.org/0000-0002-1435-6134)
- Kathleen Paul
Institutions
- Dartmouth Institute for Health Policy and Clinical Practice (US)
- Brigham and Women's Hospital (US)
- Kaiser Permanente Washington Health Research Institute (US)
- University of Pittsburgh (US)
- Colorado Permanente Medical Group (US)
- Community Partners (US)
Publication Details
- Journal
- Obesity Science & Practice
- Published
- 2025-12-01
- DOI
- https://doi.org/10.1002/osp4.70091
- Primary Topic
- Bariatric Surgery and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Eli Lilly and Company
- Pfizer
- Patient-Centered Outcomes Research Institute