Table 2:

Domains of decision quality in shared decision-making

Domains of decision quality in SDM
Reasonable options	The clinician narrows the list of options to a limited menu of reasonable options. The SDM process then focuses on this menu.
Decision style preference	Style preference is articulated and respected by the patient and clinician.
Knowledge	The patient and clinician have a shared working knowledge of the most important information involved in the decision.
Risk/burden tolerance	Tolerances are discussed, articulated, and aligned with discussion of wellness options.
Accessibility	Insurance coverage status and out-of-pocket expenses, as applicable, are understood and factored into the decision.
Trade-off decisions	Trade-offs are made explicit, articulated, and understood by patient and clinician.
Readiness	The patient and clinician feel confident and comfortable in making the decision.
Activation, engagement, self-efficacy	The decision is realistically aligned with and encourages activation, self-efficacy, and engagement.

SDM, shared decision-making.