Shared Decision Making – A Key Competence of All Health Care Professionals. Evaluation and Adaptation of a Digitally Enhanced Learning and Teaching Unit

Sanftenberg, Linda; Kuehne, Flora; Lukaschek, Karoline; Meißner, Karin; Gensichen, Jochen

doi:10.1080/21614083.2021.1987119

Cited by 5 publications

(6 citation statements)

References 20 publications

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“…Healthcare professionals may also require better understanding and training on the SDM process and practice. Establishing an online SDM process may improve the completeness and correctness of practicing SDM in the real world [25]. The integration of artificial intelligence into PDA may also be a promising mechanism to enhance the effectiveness of SDM [26,27].…”

Section: Discussionmentioning

confidence: 99%

Improving the Process of Shared Decision-Making by Integrating Online Structured Information and Self-Assessment Tools

Hsu

Kuo

et al. 2022

JPM

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The integration of face-to-face communication and online processes to provide access to information and self-assessment tools may improve shared decision-making (SDM) processes. We aimed to assess the effectiveness of implementing an online SDM process with topics and content developed through a participatory design approach. We analyzed the triggered and completed SDM cases with responses from participants at a medical center in Taiwan. Data were retrieved from the Research Electronic Data Capture (REDCap) database of the hospital for analysis. Each team developed web-based patient decision aids (PDA) with empirical evidence in a multi-digitized manner, allowing patients to scan QR codes on a leaflet using their mobile phones and then read the PDA content online. From July 2019 to December 2020, 48 web-based SDM topics were implemented in the 24 clinical departments of this hospital. The results showed that using the REDCap system improved SDM efficiency and quality. Implementing an online SDM process integrated with face-to-face communication enhanced the practice and effectiveness of SDM, possibly through the flexibility of accessing information, self-assessment, and feedback evaluation.

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Section: Discussionmentioning

confidence: 99%

Improving the Process of Shared Decision-Making by Integrating Online Structured Information and Self-Assessment Tools

Hsu

Kuo

et al. 2022

JPM

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“…Another reason why patients of younger GPs had higher PACIC scores could be the growing importance of shared decision making (SDM) in medical education [24][25][26][27] . SDM encourages care teams and patients to discuss reasonable healthcare options together, using the best evidence available to support patients in considering options and achieving informed preferences 28 .…”

Section: Resultsmentioning

confidence: 99%

Depressive primary care patients’ assessment of received collaborative care

Lukaschek

Beltz

Rospleszcz

et al. 2023

Sci Rep

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The “Patient Assessment of Chronic Illness Care” (PACIC) is a tool for evaluating outpatient health service for patients with chronic diseases. Our aim was to analyze the association between PACIC scores of primary care patients with depression and patients’ or patients’ general practitioners’ (GPs) characteristics. In a data set including depressive primary care patients (N = 280) the association of patient characteristics (sex, age, depressive symptom severity, suicidal ideation) with PACIC scores were assessed by linear regression models. The association between GPs’ characteristics (type, location of practice; age, qualification of practitioner) and PACIC scores was assessed by linear mixed models with individual practices as random effects. Patient Health Questionnaire (PHQ-9) scores at 12 months follow up and changes in PHQ-9 scores from baseline to follow up were significantly positive associated with higher PACIC scores (beta = 0.67, 95%-CI [0.02, 1.34]). PACIC scores were not associated with patients’ sex (p = 0.473) or age (p = 0.531). GP’s age was negatively associated with PACIC scores (p = 0.03). In conclusion, in patients with depression, the PACIC is independent from patients’ and GPs’ characteristics. The PACIC may be appropriate to assess patient-perspective on depression services in primary care.

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“…First, SDM was conducted to clarify and prioritize the patient's values and life purpose. The key elements of SDM under life-threatening conditions are (1) involvement of at least two participants (physician and patient) as parties, (2) bidirectional exchange of information among the parties about existing treatment options with different possible outcomes and uncertainty, and (3) taking steps to build a consensus among the parties about the preferred treatment (15,16). Entering the SDM process is a key competency for all health professionals in support of patientcentered medical practice (16).…”

Section: Discussionmentioning

confidence: 99%

“…The key elements of SDM under life-threatening conditions are (1) involvement of at least two participants (physician and patient) as parties, (2) bidirectional exchange of information among the parties about existing treatment options with different possible outcomes and uncertainty, and (3) taking steps to build a consensus among the parties about the preferred treatment (15,16). Entering the SDM process is a key competency for all health professionals in support of patientcentered medical practice (16). However, clinicians occasionally hesitate to practice SDM because of limited time (17) and difficulty in explaining the risk to patients or clarifying patients' values (16).…”

Section: Discussionmentioning

confidence: 99%

Amputation-free Home Management of Infected Lower Extremity Pressure Ulcer through Shared Decision-making: Enhancing the Quality of Life and Highlighting Societal Significance in Home Care

Sugiyama,

Tsuboya,

Nakagawa

et al. 2024

Intern. Med.

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Home healthcare is important for allowing patients to live their lives. However, home-care bedridden patients often experience pressure ulcers in the lower extremities, which can lead to life-threatening infections requiring decisions on the need for amputation. We herein report a patient with an infected lower-limb pressure ulcer with a history of spinal injury. The patient, his family, and the home-care physician repeatedly shared decision-making to deliver home-based treatment instead of amputation. Administration of wound dressing, AQUACEL Ⓡ Ag, led to complete epithelialization. Such shared decision-making and dressing were feasible in a home-care setting and broadened its scope.

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Shared Decision Making – A Key Competence of All Health Care Professionals. Evaluation and Adaptation of a Digitally Enhanced Learning and Teaching Unit

Cited by 5 publications

References 20 publications

Improving the Process of Shared Decision-Making by Integrating Online Structured Information and Self-Assessment Tools

Improving the Process of Shared Decision-Making by Integrating Online Structured Information and Self-Assessment Tools

Depressive primary care patients’ assessment of received collaborative care

Amputation-free Home Management of Infected Lower Extremity Pressure Ulcer through Shared Decision-making: Enhancing the Quality of Life and Highlighting Societal Significance in Home Care

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