Moving towards shared decision making in the physician-patient encounter in France: State of the art and future prospects

Moumjid, Nora; Carretier, Julien; Marsico, Giovanna; Blot, François; Durif‐Bruckert, Christine; Chauvin, Franck

doi:10.1016/j.zefq.2017.05.017

Cited by 13 publications

(9 citation statements)

References 14 publications

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“…In line with this first analysis, and also in accordance with the literature (Daack-Hirsh et al, 2013;Regier et al, 2015;Marshall et al, 2016), our respondents prefer a decision with upstream support from a doctor, but that is ultimately made by themselves (Moumjid et al 2017). In addition to this desire for autonomy, there is real opposition to decisions that would be made in reference to a list of accessible results set out in the law, and in particular to decisions that would be made by a local ethics committee, with none of the respondents wanting that option.…”

Section: Initial Results and Prospects For Research On Genomics In Francesupporting

confidence: 89%

Introduction to the Thematic Section on Health Economics

Franc¹

2021

Ecostat

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Section: Initial Results and Prospects For Research On Genomics In Francesupporting

confidence: 89%

Introduction to the Thematic Section on Health Economics

Franc¹

2021

Ecostat

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“…33,34 Thus, while motivation towards shared decision making appears to exist in the region its application, including, embracing the full potential of the role of patients is incomplete. This reflects the findings of Härter et al 35 and Moumjid et al 36 A striking difference between the regions was the limited existence of patient committees, much more common in France than the other countries and far from uniformly in place in the GR. Although simply having a patient committee does not necessarily ensure the hospital is listening to patient's views in a serious and careful manner.…”

Section: Discussionsupporting

confidence: 83%

“…Different intervention strategies have been developed but the main focus remained rather on the widening of access to, as well as digitalisation of, information for patients than on real patient participation or partnership. 36 In Luxembourg, there has been a slow movement towards patient participation. The ehealth strategy adopted in 2006 aimed to improve information sharing among professionals with an eventual objective to increase the patient's participation in their care moving 'little by little towards a partnership'.…”

Section: Discussionmentioning

confidence: 99%

Hospital practices for the implementation of patient partnership in a multi-national European region

Scholtes

Breinbauer

Rinnenburger

et al. 2020

European Journal of Public Health

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Background The extent to which patients are involved in their care can be influenced by hospital policies and interventions. Nevertheless, the implementation of patient participation and involvement (PPI) at the organisational (meso) level has rarely been assessed systematically. The aim of this study was to assess the occurrence of PPI practises in hospitals in Belgium, France, Germany and Luxembourg and to analyze if, and to what extent, the hospital vision and the presence of a patient committee influence the implementation of PPI practises. Methods A cross-sectional study was carried out using an online questionnaire in hospitals in the border regions of the four countries. The data were analyzed for differences between regions and the maturity of PPI development. Results Full responses were obtained from 64 hospitals. A wide range of practices were observed, the degree of maturity was mixed. A majority of hospitals promoted patient partnership in the hospital’s philosophy of care statement. However, the implementation of specific interventions for PPI was not found uniformly and differences could be observed between the countries. Conclusions Hospitals in the region seem to be motivated to include patients more fully, however, implementation of PPI interventions seems incomplete and only partially integrated into the general functioning of the hospitals. The implementation of the concept seems to be more mature in the francophone part of the region perhaps due, in part, to a more favourable political context.

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“…Actually, many national health agencies policies highly recommend patient involvement through SDM: in the USA with the Affordable Care Act, [ 52 ] in the UK with National Institute for Health and Care Excellence in England (NICE) recommendations, [ 53 ] in France with the law of March 4th, 2002. [ 54 ]…”

Section: Discussionmentioning

confidence: 99%

Outpatients’ perception of their preoperative information regarding their health literacy skills and their preoperative anxiety level

et al. 2021

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Despite the benefits related to ambulatory surgery such as cost reduction due to lack of accommodation and patient satisfaction due to early home return, it may not lead to these expected benefits. Indeed, this kind of practice can increase responsibility for the person being treated and his or her relatives. It is therefore essential to inform them as well as possible to obtain their adherence to the proposed care protocol. Nevertheless, patients’ failures to comply with preoperative instructions or the non-attendance of the patient may result in late cancellation of the scheduled surgery. In order to reduce this kind of dysfunction, the Assistance Publique-Hôpitaux de Paris (APHP) uses a reminder system by Short Message Service (SMS). This study is a descriptive cross-sectional multicenter study that focuses on outpatients’ lived experiences of their preoperative preparation and information. It aims to collect patients’ perceptions of their ability to follow preoperative instructions received by SMS the day before an operation performed for ambulatory surgery, according to their level of health literacy (HL) and preoperative anxiety. Indeed, poor communication between patients and doctors can contribute to preoperative anxiety, while low health literacy (LHL) can lead to poor understanding of preoperative preparation instructions. Therefore, it seems important to take these 2 criteria into account in this study. This research is designed to interview outpatients undergoing ambulatory surgery in the establishments of APHP. A self-questionnaire will be used for this purpose. The choice of this institution is justified by its decision to use in all care units the reminder of preoperative instructions by SMS. The main outcome is the perception of outpatients with LHL skills regarding preoperative information provided by doctors. French ethics review committee (Comité d’Ethique de la Recherche) of the University of Paris has approved the study protocol (IRB 00012020-14). Results from this study will be disseminated through oral communications and a scientific article in an international peer-reviewed journal. This protocol is registered on researchregistry.com (researchregistry5834). This version number is 1.1 Protocol dated July 22, 2020.

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Moving towards shared decision making in the physician-patient encounter in France: State of the art and future prospects

Cited by 13 publications

References 14 publications

Introduction to the Thematic Section on Health Economics

Introduction to the Thematic Section on Health Economics

Hospital practices for the implementation of patient partnership in a multi-national European region

Outpatients’ perception of their preoperative information regarding their health literacy skills and their preoperative anxiety level

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