1. Mutual respect: the patient and clinician are full partners in decision making. This partner relationship is based on trust and is focused on the whole patient. Both the patient and the clinician show respect for the special insights that the other brings to solving whatever the current problem is
2. Harmonized goals: the patient and the clinician have a full understanding of the plan of care, including associated risks , benefits, and costs. The plan of care is fully discussed prior to implementing it and both parties agree on that goal of that plan is
3. A supportive environment: the success of any plan depends on the comfort and ability of the patient and clinician to talk about any concerns that they have. The decision-making environment should be nurturing and secure.
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The right information: when making a decision about the patients should be aware of all of the risks, benefits, values, and cost of different treatment methods. The clinician, on the other hand, should be aware of the patient's perceptions, symptoms, life events, and personal practices that could have an impact on whatever the problem is, and how it will be managed.
6. Transparency and full disclosure: it is important for clinicians to provide the patients with information regarding the limits of any treatment options, as well as possible delivery and cost limitations to the treatment options. In order for this to occur, patients must be as forthcoming as possible in regards to all relevant health and economic cirumstances, treatment preferences and medical history in order to give the provider an accurate understanding of the patient's situation.
7. Continuous learning.it is important for the patient and clinician to continue communication after the plan of care is initiated. There should be a continuous discussion regarding progress and challenges to the course of treatment. Communication is never