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In the last two decades there has been a growing recognition in the Spanish National Health System (NHS) of the importance of considering patients’ values and preferences in clinical decisions. Patient participation in shared decision making (SDM) is gaining importance as a suitable approach to patient-health professional communication and decision making in Spain. In addition, the NHS is funding...
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...
Patients’ rights to autonomy, information and participation in their own health care are recognized in the Spanish legal system from the early 2000's. Public institutions have progressively launched several initiatives to promote and improve patients’ empowerment and self-care. However, the concept of shared decision making (SDM), although embedded in the more general concept of “active/empowered...
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...
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...
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