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Shared decision making in Australia in 2011.

Kirsten J McCaffery1, Sian Smith, Heather L Shepherd

  • 1School of Public Health, University of Sydney, NSW 2006, Australia. kirstenm@health.usyd.edu.au

Zeitschrift Fur Evidenz, Fortbildung Und Qualitat Im Gesundheitswesen
|May 31, 2011
PubMed
Summary
This summary is machine-generated.

Shared decision making (SDM) in Australia lacks a clear policy framework and widespread implementation. Future reforms and a new consumer health information organisation offer potential, but government investment in SDM research and practice is crucial.

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Area of Science:

  • Health Policy
  • Consumer Health Informatics
  • Healthcare Management

Background:

  • Shared decision making (SDM) is recognized as important for consumer involvement in healthcare.
  • Existing support for SDM in Australia is fragmented, with guidelines and policy documents but no overarching framework.
  • Consumer organizations strongly endorse SDM principles.

Purpose of the Study:

  • To describe the current status of shared decision making (SDM) within the Australian healthcare system.
  • To identify barriers and opportunities for SDM implementation in Australia.
  • To explore future directions for SDM in Australian healthcare.

Main Methods:

  • Policy analysis of existing guidelines and documents.
  • Review of available tools for SDM in clinical practice.
  • Assessment of implementation efforts and future potential.

Main Results:

  • Limited availability and idiosyncratic use of SDM tools in clinical practice.
  • Despite recognition of its importance, resources and infrastructure for SDM implementation are insufficient.
  • No clear overarching policy framework or national strategy exists for SDM in Australia.

Conclusions:

  • Healthcare reforms and a new consumer health information organization may facilitate centralized SDM implementation.
  • The Australian Charter of Rights could provide a national framework for consumer involvement.
  • Prioritization by federal and state governments, increased investment in SDM research, and support for clinical implementation are essential for advancing SDM in Australia.