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In recent years, many industrialised countries have moved forward initiatives to reinforce their primary healthcare sector. At the same time, there has been an increased emphasis on the engagement of patients as partners in their care. Consequently, the process by which patients are engaged to share their preferences and become involved in healthcare decisions is changing and pushing the needs for...
Norway has traditionally high standards regarding civil rights particularly emphasizing equal access to societal resources including health care. This background and the health care system's centralized national organization make it perfectly suited for implementation of shared decision making (SDM).In recent years, great efforts have been made by policy- makers, regional health authorities and not...
Argentina is a high-middle income country located in Southern South America with an estimated population of 44 million inhabitants. The epidemiological profile of the population is characterised by an increase of non-communicable diseases. The health system is heterogeneous, fragmented and loosely integrated. There are no unified research agenda or government initiatives encouraging the implementation...
The main focus of the paper is on the description of the development and current state of research and implementation of patient-centered care (PCC) and shared decision making (SDM) after fifteen years of substantial advances in health policy and health services research.What is the current state of SDM in health policy?The “Patients’ Rights Act” from 2013 standardizes all rights and responsibilities...
Up to now, little attention has been paid to West Africa when it comes to shared decision making (SDM). West African countries seem to lag behind with regard to SDM initiatives compared to many other countries in the world. There is some interest in informed decision making or informed consent, but little in a full SDM process. Few decision-making tools are available for healthcare professionals and...
Currently, shared decision making (SDM) is on the agenda among target patient representative groups, policy makers and professional bodies. Although the International Conference for Shared Decision Making (ISDM) 2011 generated a positive boost, hesitation was also felt among Dutch clinicians, who are challenged by many new tasks. No hesitation is seen among the majority of patients, opting mostly...
This paper describes the current situation of shared decision making (SDM) in the Iranian healthcare system, discusses barriers to implementation and gives future directions.What about policy regarding SDM?Although the Ministry of Health and Medical Education has enacted some legislation on informed consent and patients’ rights, there is no policy specifically regarding SDM in Iran.What about decision...
What about the political climate?Although there is no explicit description of patient involvement in Danish legislation, patient-centred care is on the political agenda in Denmark. It is integrated as one of eight new national indicators of quality in health care, as well as in the most recent national plan for cancer treatment.What about tools for patient decision support?Development of evidence-based...
Research on the implementation of patient decision aids to facilitate shared decision making in clinical settings has steadily increased across Western countries. A study which implements decision aids and measures their impact on shared decision making has yet to be conducted in the Eastern part of Europe.To study the use of Option GridTM patient decision aids in a sample of Grupa LUX MED clinics...
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