Accelerating implementation of shared decision-making in the Netherlands: An exploratory investigation

Patient Education and Counseling
Haske van VeenendaalCarina G J M Hilders

Abstract

To prioritize strategies to implement shared decision-making (SDM) in daily practice, resulting in an agenda for a nationwide approach. This was a qualitative, exploratory investigation involving: Interviews (N = 43) to elicit perceived barriers to and facilitators of change, focus group discussions (N = 51) to develop an implementation strategy, and re-affirmation through written feedback (n = 19). Professionals, patients, researchers and policymakers from different healthcare sectors participated. Determinants for change were addressed at four implementation levels: (1) the concept of SDM, (2) clinician and/or patient, (3) organizational context and (4) socio-political context. Following the identification of perceived barriers, four strategies were proposed to scale up SDM: 1) stimulating intrinsic motivation among clinicians via an integrated programmatic approach, 2) training and implementation in routine practice, 3) stimulating the empowerment of patients, 4) creating an enabling socio-political context. Clinicians mentioned that applying SDM makes their job more rewarding and indicated that implementation in daily practice needs ground-up redesign. The challenge is to effectively influence the behavior of clinicians and...Continue Reading

Citations

Aug 16, 2019·International Journal of Environmental Research and Public Health·Youness FrichiSaid Boutahari
Jun 15, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Olga C DammanMarjan J Faber
Dec 16, 2020·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Natalie Joseph-WilliamsTrudy van der Weijden
Oct 13, 2020·Patient Education and Counseling·Anke J M OerlemansGert J Olthuis
Dec 8, 2021·BMC Medical Informatics and Decision Making·Dingting XuYan Chen

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