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[Shared decision making as a chance of implementing disease management programs].

Fülöp Scheibler1, Ekkehard von Pritzbuer, Holger Pfaff

  • 1Abteilung Medizinische Soziologie, Institut und Poliklinik für Arbeits- und Sozialmedizin der Universität zu Köln. f.scheibler@gmx.de

Zeitschrift Fur Arztliche Fortbildung Und Qualitatssicherung
|April 27, 2004
PubMed
Summary

Germany's disease management programs legally require patient involvement since 2002. This paper explores implementing shared decision-making through education and guidelines for patients and physicians.

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Area of Science:

  • Health Services Research
  • Medical Law
  • Patient Engagement

Context:

  • Germany established legally mandated disease management programs in June 2002.
  • Legislation emphasizes active patient participation in healthcare decision-making.
  • The current healthcare landscape necessitates patient-centered approaches.

Purpose:

  • To align legal mandates for patient involvement with the principles of shared decision-making.
  • To outline strategies for preparing patients and physicians for shared decision-making within disease management programs.
  • To explore administrative integration of shared decision-making into clinical practice.

Summary:

  • Legal requirements for German disease management programs align with shared decision-making principles.

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  • Training in shared decision-making for patients and physicians is recommended within legally mandated courses.
  • Integrating shared decision-making into clinical practice guidelines is a key administrative step.

    • Impact:

    • Facilitates patient empowerment and autonomy in healthcare choices.
    • Enhances the effectiveness and patient satisfaction within disease management programs.
    • Provides a framework for implementing patient-centered care in a regulated healthcare system.