The Infona portal uses cookies, i.e. strings of text saved by a browser on the user's device. The portal can access those files and use them to remember the user's data, such as their chosen settings (screen view, interface language, etc.), or their login data. By using the Infona portal the user accepts automatic saving and using this information for portal operation purposes. More information on the subject can be found in the Privacy Policy and Terms of Service. By closing this window the user confirms that they have read the information on cookie usage, and they accept the privacy policy and the way cookies are used by the portal. You can change the cookie settings in your browser.
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...
In Switzerland there is a strong movement at a national policy level towards strengthening patient rights and patient involvement in health care decisions. Yet, there is no national programme promoting shared decision making. First decision support tools (prenatal diagnosis and screening) for the counselling process have been developed and implemented. Although Swiss doctors acknowledge that shared...
Canada's approach to shared decision making (SDM) is as disparate as its healthcare system; a conglomerate of 14 public plans at various administrative levels. SDM initiatives are taking place in different pockets of the country and are in different stages of development. The most advanced provincial initiative is occurring in Saskatchewan, where in 2010 the provincial government prepare to introduce...
What about policy regarding SDM?The Dutch health care system has been reformed in 2006 to make it more patient-oriented and demand-driven. We shortly describe four strategies of this health care reform. Although research projects are now fully spread over the country, a coordinated research agenda on SDM is lacking.What about tools – decision support for patients?The Dutch governmental healthcare...
What about policy regarding SDM?There is a social demand in France for more healthcare user information and greater patient participation in the decision making process, as reflected by the law of March 4 th 2002 pertaining to patients’ rights and the quality of the healthcare system known as the Law on Democracy in healthcare.What about tools – decision support for patients?At the micro level,...
The last years have seen a clear move towards shared decision making (SDM) and increased patient involvement in many countries. However, as the field of SDM research is still relatively young, new instruments for the measurement of (shared) decision making (process, outcome and surrounding elements) are constantly being developed. Thus, the aims of this structured review were to give an update on...
What about policy regarding SDM?SDM is on the national policy agenda and has been prioritised as part of the health reform bill currently going through the Houses of Parliament. The NHS Constitution emphasises patients’ right to be involved in decisions and this is reinforced in standards set by professional regulators.What about tools – decision support for patients?The UK governments have invested...
What about policy regarding SDM?Since 1999, there has been a small but growing interest by academics, the government, and society as a whole in strengthening patients’ and professionals’ involvement in shared decision making (SDM). Two governmental policy documents that indicate support for SDM are (1) Health Reform in 2003 and (2) Sanitary Objectives 2011-2020, which includes a brief section on client...
What about policy regarding SDM?Though informed consent and patients’ right to information are regulated by Israeli law, there is a low level of formal activities focused on shared decision making (SDM) in Israel. Further, there are few organized programs to promote SDM among medical professionals or the public, and governmental support of SDM-related research is minimal.What about tools – decision...
The main focus of the present paper is to describe 1) the healthcare system specific influences on patient participation in medical decision making and 2) the current state of research and implementation of shared decision making (SDM) after ten years of substantial advances in health policy and research in this field.What about policy regarding SDM?The “Medical Patients Rights Act” is to standardise...
The paper describes the current position of shared decision making (SDM) within the Australian healthcare system.Support for SDM exists through guidelines and policy documents, and is strongly endorsed by consumer organisations; however, there is no clear overarching policy framework for SDM in Australia.There are limited tools available for SDM in clinical practice. Access to tools exists through...
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...
There is no SDM in clinical practice in Brazil. The first steps have been taken towards research and tool development recently. Likewise, our society is starting to get involved with decision making in health care. This paper aims to offer an overview of the Brazilian health system history, its values, and its influence on SDM. The participative social control concept is introduced as a result of...
Shared decision making is based on the idea of cooperation and partnership between patients and doctors. In this concept both parties may initiate and perform specific decision-making steps. However, the common observation-based instruments focus solely on doctors’ behaviour. Content and quality of information provided to involve patients in medical decisions are hardly considered in evaluation of...
Shared decision making (SDM) between patient and physician is an interpersonal process. Most SDM measures use the view of one party (patient, physician or observer) as a proxy to capture this process although these views typically diverge. This study suggests the compound measure SDM MASS (SDM Meeting its concept's ASSumptions) integrating these three perspectives in one single index.SDM ...
The article comments on Shared Decision Making (SDM) research from a different perspective, i.e. psychotherapy research. Psychotherapy research had to face similar challenges, both conceptual as well as methodological. Meanwhile, the generic model of psychotherapy has helped researchers to put single results into a perspective that also might be helpful to the SDM field. Since SDM research increasingly...
Promoting patient involvement in medical decision making has become a desirable goal in medical consultations. Reliable and valid measures are necessary to evaluate interventions designed to promote shared decision making and to understand determinants and associations. The OPTION (“observing patient involvement”) scale is the most prominent observation instrument for assessing the extent to which...
Decisional conflict is a central determinant of decision making, particularly in the context of uncertainty. It is also one of the most frequently reported outcomes in studies on decision support interventions. Decisional conflict is defined as personal uncertainty about which option to choose. The Decisional Conflict Scale (DCS) is a self-administered questionnaire that was originally designed to...
Im Januar 2014 startete die Deutsche Prostatakrebsstudie PREFERE (www.prefere.de). PREFERE ist eine randomisiert kontrollierte und präferenzbasierte Studie, die erstmalig alle vier zur Behandlung des organbegrenzten Prostatakarzinoms infrage kommenden Behandlungsmöglichkeiten untersucht. Das sind - entsprechend der ‚Interdisziplinären Leitlinie der Qualität S3 zur Früherkennung, Diagnose und Therapie...
Shared decision making in medicine has become a widely promoted approach. The goal is for patients and physicians to reach a mutual, informed decision by taking into consideration scientific evidence, clinical experience, and the patient's personal values or preferences. Shared decision making, however, is not a straightforward process. In practice, it might fall short of what it promises and might...
Set the date range to filter the displayed results. You can set a starting date, ending date or both. You can enter the dates manually or choose them from the calendar.