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The goal of this report is to provide an overview of shared decision making as a health care practice and related policy options for the state of New Hampshire. Through evaluation of current research and salient case studies, this report seeks to highlight the opportunities and challenges of implementing shared decision making in a variety of settings. There are a number of policy options for New Hampshire to consider should the legislature wish to pursue the support and development of shared decision making in the state. They include endorsing shared decision making practices, developing partnerships with other stakeholders, creating new incentives for physicians and mandating the use of shared decision making.