Shared Decision Making in Patients with Osteoarthritis of the Hip and Knee


Dr. Kevin Bozic and Dr. Jeff Belkora and their research team are investigating the use of shared decision-making (SDM) tools for patients with hip and knee arthritis.  SDM tools incorporate patient preferences and values into medical decision making and are particularly useful in procedures which involve complex decision-making interactions between patient and provider. Examples include elective procedures, such as total joint arthroplasty, where procedure utilization is known to vary based on patient and provider preferences.

Drs. Bozic and Belkora and their team have implemented and tested shared decision-making interventions such as: (1) decision aids, DVDs and booklets that discuss osteoarthritis and treatment choices, and (2) communication aids, such as prompt sheets and health coaches who assist patients in developing a written list of questions to ask their physicians.

Preliminary results suggest that patients receiving the SDM intervention have greater knowledge regarding their disease process and the treatment alternatives, greater confidence in their treatment decisions, and higher overall satisfaction with their care delivery experience. Similarly, surgeons are more satisfied with SDM intervention visits, as they feel that patients ask more appropriate and informed questions, and there is no impact on length of office visit or treatment decision (e.g., surgical vs. non-surgical). Dr. Bozic’s and Belkora’s team is now expanding their work in SDM through a randomized controlled trial that aims to evaluate the feasibility, acceptability, and effectiveness of SDM tools for broader use in surgical practices.

Funder:  Robert Wood Johnson Foundation


Kevin J. Bozic, MD, MBA
Associate Professor and Vice Chair
Department of Orthopaedic Surgery and Philip R. Lee Institute for Health Policy Studies; 415-476-3900