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Tytuł:
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Shared decision-making in the Netherlands: Progress is made, but not for all. Time to become inclusive to patients.
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Autorzy:
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van der Weijden T; Department of Family Medicine, School for Public Health and Primary Care CAPHRI, Maastricht University, Maastricht, The Netherlands. Electronic address: .
van der Kraan J; Netherlands Patients Federation, Utrecht, The Netherlands.
Brand PLP; Isala Women's and Children's Hospital, Zwolle, and UMCG Postgraduate School of Medicine, University Medical Centre and University of Groningen, Groningen, The Netherlands.
van Veenendaal H; Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.
Drenthen T; Dutch College of General Practitioners, Utrecht, The Netherlands.
Schoon Y; Department of Geriatrics, Radboud University Medical Center, Nijmegen, The Netherlands.
Tuyn E; Program manager health care innovation, CZ Health Care Insurance, Tilburg, The Netherlands.
van der Weele G; Dutch College of General Practitioners, Utrecht, The Netherlands.
Stalmeier P; Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands.
Damman OC; Amsterdam UMC location Vrije Universiteit Amsterdam, Department of Public and Occupational Health and Amsterdam Public Health research institute, Amsterdam, The Netherlands.
Stiggelbout A; Erasmus School of Health Policy and Management, Erasmus University Rotterdam and Medical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Centre, The Netherlands.
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Źródło:
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Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen [Z Evid Fortbild Qual Gesundhwes] 2022 Jun; Vol. 171, pp. 98-104. Date of Electronic Publication: 2022 May 23.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: Amsterdam ; New York : Elsevier Urban & Fischer
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MeSH Terms:
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Decision Making*
Patient Participation*
Decision Making, Shared ; Germany ; Humans ; Netherlands
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Contributed Indexing:
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Keywords: Implementation; Implementierung; Medizinische Entscheidungshilfen; Partizipative Entscheidungsfindung; Patient decision aids; Patient participation; Patientenbeteiligung; Shared decision-making
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Entry Date(s):
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Date Created: 20220525 Date Completed: 20220621 Latest Revision: 20220621
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Update Code:
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20240105
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DOI:
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10.1016/j.zefq.2022.04.029
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PMID:
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35613990
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Dutch initiatives targeting shared decision-making (SDM) are still growing, supported by the government, the Federation of Patients' Organisations, professional bodies and healthcare insurers. The large majority of patients prefers the SDM model. The Dutch are working hard to realise improvement in the application of SDM in daily clinical practice, resulting in glimpses of success with objectified improvement on observed behavior. Nevertheless, the culture shift is still ongoing. Large-scale uptake of SDM behavior is still a challenge. We haven't yet fully reached the patients' needs, given disappointing research data on patients' experiences and professional behavior. In all Dutch implementation projects, early adopters, believers or higher-educated persons have been overrepresented, while patients with limited health literacy have been underrepresented. This is a huge problem as 25% of the Dutch adult population have limited health literacy. To further enhance SDM there are issues to be addressed: We need to make physicians conscious about their limited application of SDM in daily practice, especially regarding preference and decision talk. We need to reward clinicians for the extra work that comes with SDM. We need to be inclusive to patients with limited health literacy, who are less often actually involved in decision-making and at the same time more likely to regret their chosen treatment compared to patients with higher health literacy.
(Copyright © 2022. Published by Elsevier GmbH.)
