The emerging case for shared decision making in orthopaedics.

The Institute of Medicine outlined a standard for patient-centered care, which has become the centerpiece of healthcare reform in the United States. Shared decision-making interventions, which include decision and communication aids, are formal embodiment of this philosophy. Although the concept of shared decision making has been shown to be an effective tool, and its relevance to orthopaedic medicine has been well documented, it has not been widely adopted by orthopaedic surgeons. It is helpful to examine the benefits of shared decision making, along with incentives to encourage adoption and implementation of this important philosophy.