Power imbalance prevents shared decision making.

Natalie Joseph-Williams, Adrian Edwards, Glyn Elwyn

May 2014

Synopsis of Social media discussions

Participants discuss how power imbalances affect decision-making, exemplified by a post suggesting using a video to empower patients in appointments, highlighting awareness of the issue and potential solutions. The tone is proactive and focused on personal empowerment, reflecting moderate engagement and belief in meaningful change.

A
Agreement
 Moderate agreement

Most discussions acknowledge that power imbalances hinder shared decision-making, aligning with the publication's message.

I
Interest
 High level of interest

The discussion about empowering patients and overcoming power dynamics indicates high interest in the topic.

E
Engagement
 Moderate level of engagement

Posts include specific suggestions like using videos to empower patients, showing moderate depth of engagement.

I
Impact
 Moderate level of impact

The focus on practical tools and awareness raising suggests recognition of the article's influence on improving communication in healthcare.

Social Mentions

YouTube

1 Videos

Facebook

1 Posts

Twitter

2 Posts

News

4 Articles

Metrics

Video Views

101

Total Likes

8

Extended Reach

295

Social Features

8

Timeline: Posts about article

Top Social Media Posts

Posts referencing the article

  • AdaptiveGo
    @AdaptiveGo (Twitter)

    Want to feel more empowered for your specialist appointment? Try this vid for ideas on how to get the most out of your specialist appointment #NEISVoid #arthritis #chronicillness #chronicpain #chronicfatigue #livingmybestlife https://t.co/tN1dERQOAB
    view full post

    March 18, 2021

  • Louise
    @lou_mwill (Twitter)

    Power imbalance prevents shared decision making https://t.co/B7jHnelnSc
    view full post

    January 14, 2019

  • Joseph-Williams - Power Imbalance Prevents Shared Decision ...

    BMJ 2014;348:g3178 doi: 10.1136/bmj. · g3178 (Published 14 May 2014) Page 1 of 4 · Power imbalance prevents shared decision making · Adoption of shared decision ...
    view full post

    December 15, 2025

    News

  • Aric Vrnada 2 | PDF | Health Care | Health Sciences

    shared decision making. BMJ (Clinical Research Ed.), 348g3178. doi:10.1136/bmj. g3178. Kennedy, I., 2003. Pateints are experts in ...
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  • Psychiatric Nonadherence A Solutions-Based Approach by Victor ...

    BMJ. 2014;348:g3178. https://doi.org/10.1136/bmj.g3178. 59. Giguere A, Legare F, Grad R, Pluye P, Haynes RB, Cauchon M, et al. Decision boxes for cli-
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    methuo meth-oo'-o From another form of G3178; to drink to ... 10.1136/bmj. f7255 (Published 12 December 2013) Cite this as: BMJ ...
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Abstract Synopsis

  • The text suggests that when one party has more power or influence than the other, it becomes difficult for them to make decisions together.
  • This imbalance of power can hinder open communication and cooperation, affecting the quality of shared choices.
  • Ultimately, the imbalance creates barriers to equal participation, making collaborative decision-making less effective or fair.]