Option grids: an idea whose time has come?

Abstract

![][1] It is more than 30 years since I first heard the expression ‘patient empowerment’, 25 years since I heard ‘shared decision making’, and 12 years since Edwards and Elwyn first published their multi-author edited volume Evidence-Based Patient Choice .1 Even the stirring maxim ‘No decision about me without me’ is beginning to sound old hat. Few of us are opposed to patient autonomy or shared decision-making. But there is a substantial gap between what we support in principle and what we can or do deliver within the confines of a 10-minute consultation. Be honest. What happens when a patient attends your surgery … [1]: /embed/graphic-1.gif