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Respond (support or critique their ideas, and state why) . At least 150 words–indicate the number of words at the end of your response. 

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(a) The importance of DM in health care

Decision making is essential key in the healthcare management area. Decision making helps the decision makers to design the strategy, evaluate risk and execute the plan of the management. Decision making is crucial process for the healthcare to judge the economical side of the health care expenses and predict the future of the organization. Moreover, the physicians and other healthcare providers can evaluate the problems and gives the solution and the alternatives to the consumers. Patient choice the treatment and weigh the economic aspect of the chosen treatment option. 

(b) If decision environments in health care may include certainrisk or uncertain environments. What, in your opinion, do you think is the dominant environment? What DM model would be relevant in this environment? Why?

In my opinion, the dominant environment would be the Uncertain environment in healthcare. Because healthcare area is dealing with different stage of decision makers. Like, administrators, physicians, patients and the third parties. Moreover, advancement in technology, opinion and individual’s perception affects the decision. This all changes frequently and it is called as an organized anarchy. 

Shared decision-making model is relevant in this environment. This model relies on the collaboration of the providers and the patients and the family’s decision. In addition, patient gets the chance to pick the treatment plan with the information provided to him. This model works on the clinical evidence of the situation rather than the preplanned process. Moreover, this model focused on the quality, cost, and effectiveness of the treatment. This gives patient centered approach. Also, the shared approach is applied in this model. This approach gives more freedom to the patient to choose the treatment and evaluate the economical aspect of the treatment also. 

According to article review, the literature review gives the information about how the shared decision-making model helps to provide the patient centered care and it improves the quality of the care. when they measured the short-term outcomes, they found the improvement in that. Specifically, they noticed in the improvement in the patient understanding, satisfaction, patient adherence, and significant reduction in the use of the resources like laboratory services and referrals. Usually physicians are not following the shared decision-making models and that will affect the quality of the patient’s care. (G, Elwyn, A, Edwards, & P, Kinnersley, 1999)

According to article, the article result showing that the advantageous effects of shared decision-making process noticed in the patient outcome. Also, the shared decision making increases the length of the patient-provider relationship. The medication adherence was decreased with the increasing the patient-provider relationship in the heart patients. Also, the positive impact was noted in the practice with the use of share decision making model. The auther also marked that the age factor matters to follow the shared decision-making model. In older patients, the physician fails to follow the model.  (A., Schoenthaler, D. M., Rosenthal, M., Butler, & L., Jacobowitz, 2018)

Elwyn, G., Edwards, A., & Kinnersley, P. (1999). Shared decision-making in primary care: the neglected second half of the consultation. Br J Gen Pract49(443), 477-482.

Schoenthaler, A., Rosenthal, D. M., Butler, M., & Jacobowitz, L. (2018). Medication Adherence Improvement Similar for Shared Decision-Making Preference or Longer Patient-Provider Relationship. The Journal of the American Board of Family Medicine31(5), 752-760.

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