European Experience with Shared Decision Making

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Published: Jun 25, 2015
DOI: https://doi.org/10.5750/ijpcm.v5i1.503
Keywords:
shared decision making France Germany Spain Netherlands United Kingdom

Main Article Content

Angela Coulter
Health Services Research Unit, Nuffield Department of Population Health, University of Oxford,
Martin Härter Härter
Chair, Department of Medical Psychology, University Medical Center, Hamburg-Eppendorf, Germany
Nora Moumjid-Ferdjaoui
Associate Professor, Lyon 1 University, GATE-LSE (UMR 5824 CNRS), Centre Léon Bérard, Lyon, France
Lilisbeth Perestelo-Perez
Health Services Researcher, Evaluation Unit, Canary Islands Health Service, Tenerife, Spain
Trudy van der Weijden
Professor of Implementation of Clinical Practice Guidelines, Department of Family Medicine, Research School for Public Health and Primary Care CAPHRI, Maastricht University, The Netherlands.

Abstract

 Background: Shared decision making (SDM) is frequently advocated but not yet widely implemented in European countries. Experience suggests that various incentives must be in alignment to encourage wider uptake.  Objectives: To assess readiness for mainstream implementation of SDM in five European countries. Methods: Qualitative assessment of clinical policies and the availability of various SDM support services in Germany, France, Spain, the Netherlands and the UK. Results: All five countries have research groups working on SDM, patient groups calling for its wider use, and ethical and professional standards indicating its desirability, but apart from a small number of demonstration projects, there is no evidence of a systematic approach to implementation in any of the countries as yet.  Conclusions: Greater attention will need to be given to the provision of effective leadership, training and practical support if SDM is to become a regular feature of clinical practice in these countries.  

Article Details

Issue
Vol. 5 No. 1 (2015)
Section
Regular Articles

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