The long way of implementing patient-centered care and shared decision making in Germany

Härter, Martin; Dirmaier, Jörg; Scholl, Isabelle; Donner-Banzhoff, Norbert; Dierks, Marie‐Luise; Eich, Wolfgang; Müller, Hardy; Klemperer, David; Koch, Klaus; Bieber, Christiane

doi:10.1016/j.zefq.2017.05.006

Cited by 59 publications

(45 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Placing adolescents in control over the decisions that affect them has traditionally not been a part of healthcare professionals' training. Considerable efforts are required, if the changes to the work culture can be expected [31,48,49]. This includes leadership encouragement, organizational support and communication of the benefits of user participation and shared decision-making to clinicians [47].…”

Section: Setting the Stage For User Participation And Shared Decisionmentioning

confidence: 99%

User participation and shared decision-making in adolescent mental healthcare: a qualitative study of healthcare professionals’ perspectives

Bjønness

Viksveen

Johannessen

et al. 2020

Child Adolesc Psychiatry Ment Health

View full text Add to dashboard Cite

Background: Most mental health problems occur in adolescence. There is increasing recognition of user participation and shared decision-making in adolescents' mental healthcare. However, research in this field of clinical practice is still sparse. The objective of this study was to explore healthcare professionals' perspectives on user participation, and opportunities for shared decision-making in Child and Adolescent Mental Health Service (CAMHS) inpatient units. Methods: Healthcare professionals at CAMHS inpatient units participated in three focus group interviews. Fifteen participants with experience with user participation and shared decision-making were recruited from five hospitals in Norway. Results: Five themes emerged: (1) involvement before admission; (2) sufficient time to feel safe; (3) individualized therapy; (4) access to meetings where decisions are made; and (5) changing professionals' attitudes and practices. Conclusion: User participation and shared decision-making require changes in workplace culture, and routines that allow for individualized mental health services that are adapted to adolescents' needs. This calls for a flexible approach that challenges clinical pathways and short-stay hospital policies. The results of this study may inform further work on strengthening user participation and the implementation of shared decision-making.

show abstract

Section: Setting the Stage For User Participation And Shared Decisionmentioning

confidence: 99%

User participation and shared decision-making in adolescent mental healthcare: a qualitative study of healthcare professionals’ perspectives

Bjønness

Viksveen

Johannessen

et al. 2020

Child Adolesc Psychiatry Ment Health

View full text Add to dashboard Cite

show abstract

“…In these countries, SDM is being established at a policy level, and system-wide implementation strategies with leadership and financial support have been developed. [14][15][16][17][18][19][20] Interventions tested and implemented in these countries include communication and marketing, patient and public involvement, research, training, legislation, access to PDAs, service provision, clinical champions, financial incentives and policy [14][15][16][17][18][19] (Table 4).…”

Section: International Reviewmentioning

confidence: 99%

“…Increasing the probability of a response by arranging a dependent relationship, or contingency, between the response and a given stimulus 7,[14][15][16][17][18][19][20] For NSW Health, the high number of participant responses coded to the theoretical domain 'environmental context and resources' suggests the importance of attending to organisational culture and ensuring resources are available to support the use of SDM in clinical practice.…”

Section: Skillsmentioning

confidence: 99%

Shared decision making implementation: a case study analysis to increase uptake in New South Wales

Dimopoulos-Bick¹,

Osten²,

Shipway³

et al. 2019

Aust. Health Rev.

View full text Add to dashboard Cite

The aim of this study was to identify potential implementation interventions to increase the uptake of shared decision making (SDM) in clinical practice in New South Wales (NSW) Health. The Agency for Clinical Innovation hosted a full-day SDM masterclass in May 2017 and 53 attendees completed a survey to identify barriers to implementing SDM. The Theoretical Domains Framework, COM-B ('capability', 'opportunity', motivation' and 'behaviour') Model and Behaviour Change Wheel were used to conduct a theoretical analysis of the barriers and identify potential interventions to increase the uptake of SDM. This was supplemented by a purposive review of articles about current international efforts to facilitate SDM. From the theoretical analysis, 9 of the 14 theoretical domains were considered relevant to implementing SDM in the NSW Health context. Multi-faceted interventions including education, training, enablement, modelling, incentivisation, persuasion and environmental restructuring were identified as potential ways to increase SDM. The review of international articles identified communication and marketing, patient and public involvement, research, training, legislation, patient decision aids, service provision, clinical champions, financial incentives and policy as interventions being used to increase the uptake of SDM internationally. Based on current perceptions about barriers for SDM implementation in NSW Health, initial efforts should focus on workforce skills development, motivation, communication and marketing, service provision and creating receptive work environments. Investments into facilitating SDM will require an ongoing commitment to enhancing patient experience, evidence translation and reducing unwarranted variations in care.

show abstract

“…The process of shared decision involves to simplify any issues raised by the patient, clarify areas of unreliability, deliver knowledge about the pros and cons of each option, exchange views on the options, assist the patient to set SMART (specific, measurable, attainable, realistic and time-bound) goals and to explore how the patients will get aid to attain their objectives 9 . It has been shown in the literature that SDM has the potential to provide several benefits to involving persons [10][11][12] . It increases knowledge in patients regarding their condition 9 .…”

Section: Introductionmentioning

confidence: 99%

Conceptual approach of shared decision making in physical therapy: An approach for betterment of patients?

Syed¹,

Zubaria²,

Tanoli³

et al. 2019

Int. j. endorsing health sci. res.

View full text Add to dashboard Cite

Background: Shared decision making (SDM) depicts the work that patients and clinicians do together to consider the relative benefits of accessible administration choices and choose an arrangement that fits the patient objectives, inclinations and setting. SDM decreases the authoritative control between the patient and physical therapist. SDM allows a balanced relationship between a clinician and patient. The practical application of evidence-based practice in health care is always been a challenge for clinician. The objective of this study was to explore the use of shared decision making among physical therapists in Karachi. Methodology: A cross-sectional study was conducted at the Institute of physical medicine and rehabilitation (IPM&R) department of Dow University of Health Sciences from 3 August 2017 till 13 April 2018. A total of 232 physiotherapists from different hospital and rehabilitation centers of Karachi participated in the study. SDM Q-Doc 9 (a physician version) questionnaire and questions regarding barriers were used to collect data. Data was analyzed by using SPSS version 20.00. Categorical variables were reported as frequency/percentage, while numerical data was presented as Mean±SD. Descriptive statistics test were applied. Results: The results indicated that the use of SDM was moderate (70.3%) among physiotherapists while the notable barriers were physician's instructions (67.7%), lack of time (53.6%) and misconception of patient about disease or treatment which resisted in utilization of SDM(65.9%). Conclusion: In conclusion we can state that the institutional physical therapists would prefer to use SDM moderately and it could be due to a relatively new concept.

show abstract

The long way of implementing patient-centered care and shared decision making in Germany

Cited by 59 publications

References 28 publications

User participation and shared decision-making in adolescent mental healthcare: a qualitative study of healthcare professionals’ perspectives

User participation and shared decision-making in adolescent mental healthcare: a qualitative study of healthcare professionals’ perspectives

Shared decision making implementation: a case study analysis to increase uptake in New South Wales

Conceptual approach of shared decision making in physical therapy: An approach for betterment of patients?

Contact Info

Product

Resources

About