Implementing shared decision-making in UK: Progress 2017–2022

Coulter, Angela; Collins, Alf; Edwards, Adrian; Entwistle, Vikki; Finnikin, Samuel; Joseph‐Williams, Natalie; Thomas, Victoria; Thomson, Richard

doi:10.1016/j.zefq.2022.04.024

Cited by 14 publications

(14 citation statements)

References 17 publications

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“…In some countries, SDM is clearly mentioned in prominent health policy documents as a proposed direction for health care delivery. Some countries have seen legal developments that overlap with a discussion about the nature of informed consent [8][9]. In roughly thirty years, the idea of involving people in decisions has become widely…”

Section: Discussionmentioning

confidence: 99%

Editorial: 20 years after the start of international Shared Decision-Making activities: Is it time to celebrate? Probably… 

Bravo

Härter

McCaffery

et al. 2022

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheit

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Section: Discussionmentioning

confidence: 99%

Editorial: 20 years after the start of international Shared Decision-Making activities: Is it time to celebrate? Probably… 

Bravo

Härter

McCaffery

et al. 2022

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheit

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“…The process of engaging and involving the public in the prioritization, design and delivery of the research and in funding and policy decisions ensures maximum accountability and transparency and should, in most cases, lead to immediate or longer term clinical or societal impact. 2,7 However, it is important to ensure that such an impact-driven agenda approach does not discourage basic "blue skies" research to facilitate new fundamental discoveries and technologies! More generally, PE and PI also improve public understanding and awareness of research advances, health conditions and lifestyle choices, and lead to a better understanding of basic principles such as facts, how to interpret data, and the scientific method.…”

Section: Benefits To the Wider Societymentioning

confidence: 99%

Section: The Benefits: Why Invest Your Time?mentioning

confidence: 99%

Overcoming the disconnect between scientific research and the public

et al. 2023

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In biomedical research, there is no situation where public engagement (PE) and public involvement (PI) are not possible, important or even expected. Whether we work in the clinic or in the laboratory, all researchers have a duty to reach out, demonstrate the added value that science brings to society, and make a real difference to the way research is done. Here we outline the benefits of PE and PI for individual researchers and their employers, for members of the public, and for society at large. We offer solutions to overcome major challenges, including a step-by-step guide for researchers to embrace PE and PI in their career, and make a call to action for a cultural shift towards embedding PE and PI in our modern academic environment.

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“…It is considered a right of all patients to be included in decisions about their care [13]. Therefore, in Australia, similarly to other nations [14], there are clear policy directives at both the state and federal level that require or mandate health services to implement SDM [15,16]. The National Safety and Quality in Health Service (NSQHS) Standards explicitly mention SDM (e.g.…”

Section: Introductionmentioning

confidence: 99%

Co-designing a theory-informed intervention to increase shared decision-making in maternity care

Waddell

Spassova

Sampson

et al. 2023

Health Res Policy Sys

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Background Shared decision-making (SDM) has been shown to improve healthcare outcomes and is a recognized right of patients. Policy requires health services to implement SDM. However, there is limited research into what interventions work and for what reasons. The aim of the study was to develop a series of interventions to increase the use of SDM in maternity care with stakeholders. Methods Interventions to increase the use of SDM in the setting of pregnancy care were developed using Behaviour Change Wheel and Theoretical Domains Framework and building on findings of an in-depth qualitative study which were inductively analysed. Intervention development workshops involved co-design, with patients, clinicians, health service administrators and decision-makers, and government policy makers. Workshops focused on identifying viable SDM opportunities and tailoring interventions to the local context (the Royal Women’s Hospital) and salient qualitative themes. Results Pain management options during labour were identified by participants as a high priority for application of SDM, and three interventions were developed including patient and clinician access to the Victorian Government’s maternity record via the patient portal and electronic medical records (EMR); a multi-layered persuasive communications campaign designed; and clinical champions and SDM simulation training. Factors identified by participants for successful implementation included having alignment with strategic direction of the service, support of leaders, using pre-standing resources and workflows, using clinical champions, and ensuring equity. Conclusion Three interventions co-designed to increase the use of SDM for pain management during labour address key barriers and facilitators to SDM in maternity care. This study exemplifies how health services can use behavioural science and co-design principles to increase the use of SDM. Insights into the co-design of interventions to implement SDM in routine practice provide a framework for other health services, policy makers and researchers.

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Implementing shared decision-making in UK: Progress 2017–2022

Cited by 14 publications

References 17 publications

Editorial: 20 years after the start of international Shared Decision-Making activities: Is it time to celebrate? Probably…

Editorial: 20 years after the start of international Shared Decision-Making activities: Is it time to celebrate? Probably…

Overcoming the disconnect between scientific research and the public

Co-designing a theory-informed intervention to increase shared decision-making in maternity care

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