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44 Chapter 2 43. Légaré F, Witteman HO. Shared Decision Making: Examining Key Elements And Barriers To Adoption Into Routine Clinical Practice. Health Affairs. 2013;32(2):276-84. 44. Joseph-Williams N, Elwyn G, Edwards A. Knowledge is not power for patients: A systematic review and thematic synthesis of patient-reported barriers and facilitators to shared decision making. Patient Education and Counseling. 2014;94(3):291-309. 45. Clayman ML, Bylund CL, Chewning B, Makoul G. The Impact of Patient Participation in Health DecisionsWithin Medical Encounters: A Systematic Review. Medical Decision Making. 2016;36(4):427-52.