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Shared decision making in the Netherlands, is the time ripe for nationwide, structural implementation?
Trudy van der Weijden1, Haske van Veenendaal, Ton Drenthen
1Dept General Practice\ CAPHRI School for Public Health and Primary Care, Maastricht University, the Netherlands. trudy.vanderweijden@maastrichtuniversity.nl
Summary
The Dutch healthcare system aims for patient-centered care, but lacks a coordinated research agenda for shared decision-making (SDM). Efforts are underway to improve patient decision aids and professional training for enhanced SDM implementation.
Area of Science:
- Healthcare policy
- Patient engagement
- Shared decision-making (SDM)
Background:
- The Dutch healthcare system reformed in 2006 towards a patient-oriented, demand-driven model.
- Despite widespread research, a unified national agenda for SDM is absent.
- Patient participation is strong at macro and meso levels in the Netherlands.
Purpose of the Study:
- To review the current landscape of shared decision-making (SDM) in the Netherlands.
- To identify existing patient decision support tools.
- To assess professional engagement and implementation challenges in SDM.
Main Methods:
- Policy review of Dutch healthcare reforms (post-2006).
- Inventory of patient decision aids on the national healthcare portal.
- Analysis of professional training and implementation efforts for SDM.
Main Results:
- 16 patient decision aids are available on the Dutch governmental healthcare internet portal.
- Limited professional training in SDM skills has occurred, despite local research projects.
- A strong patient participation movement exists, but a coordinated SDM research agenda is lacking.
Conclusions:
- Concerted action is needed for educating healthcare professionals and empowering patients in SDM.
- Improving accessibility of patient decision aids and supporting professionals are crucial.
- Measuring SDM in quality assurance and launching initiatives like the Dutch Platform for SDM are vital for future progress.
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