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Updated: Jun 1, 2026
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Published on: July 29, 2020
Shared decision making in Brazil: history and current discussion
Mirhelen Mendes de Abreu1, Raphael Battisti, Rachel Samhan Martins
1Medicine Department, Federal University of São Carlos (UFSCar), Brazil. mirhelen@ufscar.br
Summary
Shared decision-making (SDM) is emerging in Brazil, with initial research and societal engagement. Despite challenges, the positive outlook for SDM implementation in clinical practice is promising.
Area of Science:
- Health policy
- Medical ethics
- Health services research
Background:
- Shared decision-making (SDM) is not yet established in Brazilian clinical practice.
- Recent advancements include research and tool development for SDM.
- Brazilian society is increasingly engaging in healthcare decision-making.
Purpose of the Study:
- To provide an overview of the Brazilian health system's history, values, and impact on SDM.
- To explore the concept of participative social control and its influence.
- To discuss the current state and implementation challenges of SDM in Brazil.
Main Methods:
- Historical analysis of the Brazilian health system.
- Examination of social changes and their impact on medical ethics.
- Review of the current landscape and challenges for SDM.
Main Results:
- The concept of participative social control, influenced by historical movements, is relevant.
- Social changes have shaped the Medical Ethical Code.
- While challenges exist, SDM is gaining traction.
Conclusions:
- The historical context and societal values in Brazil influence SDM.
- Despite implementation hurdles, the trajectory for SDM in Brazil is positive.
- Further development is needed to integrate SDM into routine clinical practice.
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