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Shared decision-making in Israel: status, barriers, and recommendations
Talya Miron-Shatz1, Ofra Golan, Mayer Brezis
1Center for Medical Decision Making, Ono Academic Collage, Kiryat Ono, Israel. talyam@ono.ac.il.
Israel Journal of Health Policy Research
|August 24, 2012
Summary
Shared decision making (SDM) in Israel is underdeveloped despite patient and physician interest. Universal healthcare coverage presents an opportunity for future advancements in patient involvement.
Area of Science:
- Healthcare Policy
- Medical Ethics
- Patient-Centered Care
Background:
- Shared decision making (SDM) is gaining global influence in healthcare.
- Current status of SDM in Israel requires examination.
Purpose of the Study:
- To review the legislative and healthcare system efforts to promote SDM in Israel.
- To assess SDM's influence on medical training and national health plans.
- To evaluate funding for SDM research and review published studies.
Main Methods:
- Literature review of published studies on SDM in Israel.
- Analysis of legislative provisions and healthcare system initiatives.
- Examination of medical training curricula and national health plans.
Main Results:
- Israeli law regulates informed consent but lacks specific SDM provisions.
- Limited organized programs and minimal governmental research funding for SDM exist.
- Patients are influencing litigation, medical schools are improving communication training, and public awareness initiatives are emerging.
Conclusions:
- Despite low current promotion, Israel's healthcare system structure is conducive to rapid SDM advancement.
- Policymakers should support existing initiatives and set achievable milestones for SDM implementation.
- International comparisons can further stimulate progress in SDM within Israel.
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