Shared decision making in West Africa: The forgotten area

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen
Ndeye Thiab DioufMirjam Marjolein Garvelink

Abstract

Up to now, little attention has been paid to West Africa when it comes to shared decision making (SDM). West African countries seem to lag behind with regard to SDM initiatives compared to many other countries in the world. There is some interest in informed decision making or informed consent, but little in a full SDM process. Few decision-making tools are available for healthcare professionals and the majority are not designed to support decision-making with patients. Furthermore, to the best of our knowledge, there are no training programs for implementing SDM in healthcare teams. Many barriers exist to implementing SDM in West Africa, including lack of options, few or poor health resources and low levels of education. However, African countries present many opportunities for SDM as well. Existing SDM innovations developed for other populations with low literacy could be explored and adapted to the West African context, and research on implementation and outcomes in West Africa could contribute to SDM worldwide. West African countries are in an excellent position to both learn from other countries and contribute to SDM development in other parts of the world. In this paper we reflect on SDM challenges and opportunities, and ...Continue Reading

Citations

Jun 12, 2020·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Hélène ElidorFrance Légaré
Aug 20, 2019·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Ali Ben CharifFrance Légaré

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