{
  "abstract": "It has been roughly 50 years since Jay Katz advocated for the involvement of patients in decision-making,1 yet making treatment decisions based on what matters to patients remains aspirational. Despite broad agreement that high-quality care should be of service to the patient by using shared decision-making to align treatments with patient’s goals, routine performance of shared decision-making with reliability and across specialties remains elusive. As such, a novel initiative to customise care for the individual patient, ‘What Matters’ is a primary component of the age-friendly quality improvement programmes set forth by august bodies in the USA. 2–5 While this undertaking recognises important gaps in clinician–patient interactions, particularly for older adults who often prefer to avoid default life-prolonging treatment given associated burdens, it provides little guidance for enactment. Potentially, this is a great policy choice allowing end-users to establish the most effective practices but it requires clinicians to implement something that faithfully reflects this ambitious policy.",
  "authors": [
    {
      "affiliations": [
        "Surgery, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, USA"
      ],
      "name": "Margaret Schwarze"
    },
    {
      "affiliations": [
        "Surgery, University of Wisconsin Hospitals & Clinics, Madison, Wisconsin, USA"
      ],
      "name": "Kate Telma"
    },
    {
      "affiliations": [
        "Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA"
      ],
      "name": "Lauren J Taylor"
    }
  ],
  "title": "Operationalising ‘what matters’—will we ever find a way to patient-centred care?",
  "uid": "aeaf6ae0-309d-5703-ad7f-5e30170710d9"
}