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Implementing shared decision making in Denmark: First steps and future focus areas.

Karina Dahl Steffensen1, Vibe Hjelholt Baker2, Mette Marianne Vinter3

  • 1Centre for Shared Decision Making, Lillebaelt Hospital, Vejle, Denmark; Department of Oncology, Vejle, Lillebaelt Hospital, Vejle, Denmark; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark.

Zeitschrift Fur Evidenz, Fortbildung Und Qualitat Im Gesundheitswesen
|May 23, 2017
PubMed
Summary
This summary is machine-generated.

Patient-centered care is a political priority in Denmark, but shared decision-making (SDM) implementation faces challenges. Further investment in training and addressing systemic barriers are crucial for advancing SDM in Danish healthcare.

Keywords:
DenmarkDänemarkGesundheitspolitikImplementierungSystembarrierenhealth policyimplementationpartizipative Entscheidungsfindungshared decision makingsystem barriers

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Area of Science:

  • Healthcare Policy and Management
  • Patient Engagement Strategies
  • Clinical Practice Implementation

Background:

  • Patient-centered care is a stated political priority in Denmark, influencing national health indicators and cancer treatment plans.
  • While evidence-based patient decision aids (PDAs) development is emerging, systematic integration into clinical practice remains limited.
  • Growing interest exists among healthcare professionals, yet shared decision-making (SDM) is not standard practice.

Purpose of the Study:

  • To assess the current state and future prospects of shared decision-making (SDM) in the Danish healthcare system.
  • To identify barriers and facilitators for the implementation of SDM and patient decision aids (PDAs).
  • To inform strategies for enhancing patient involvement in healthcare decisions within Denmark.

Main Methods:

  • Analysis of the political climate and legislative landscape regarding patient involvement.
  • Review of the development and availability of patient decision aids (PDAs).
  • Assessment of the current implementation status and training initiatives for shared decision-making (SDM).

Main Results:

  • Patient-centered care is politically supported but lacks explicit legislative patient involvement frameworks.
  • Patient decision aid (PDA) development is nascent, with some funding and stakeholder initiatives.
  • Shared decision-making (SDM) implementation is limited, with insufficient systematic training and knowledge gaps in practice.
  • Organizational and systemic challenges hinder widespread SDM adoption.

Conclusions:

  • Significant investment in healthcare professional training and addressing systemic barriers are essential for advancing SDM in Denmark.
  • Systematic integration of SDM into daily routines and patient care pathways is critical for future progress.
  • Policy and practice must align to fully realize the potential of patient-centered care and shared decision-making.