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Shared decision making in Argentina in 2017.

Mariela Barani1, Karin Kopitowski2, Carolina Carrara1

  • 1Department of Family and Community Medicine, Hospital Italiano de Buenos Aires, Argentina.

Zeitschrift Fur Evidenz, Fortbildung Und Qualitat Im Gesundheitswesen
|May 27, 2017
PubMed
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[Overuse of cardiology tests in healthy children at an Argentinian university hospital].

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Weight "regain" in obesity shifts responsibility from biology to personal inadequacy.

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Developing a breast cancer screening decision aid in Spanish for average-risk women: a mixed methods study.

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Overdiagnosis and overuse of diagnostic and screening tests in low-income and middle-income countries: a scoping review.

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Shared decision-making in Argentina in 2022.

Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen·2022
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Are shared decision making studies well enough described to be replicated? Secondary analysis of a Cochrane systematic review.

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In Argentina, shared decision making (SDM) faces challenges due to a fragmented health system and limited government support. Despite this, a dedicated team continues to advance SDM initiatives for improved patient autonomy.

Area of Science:

  • Health Systems Research
  • Patient-Centered Care
  • Public Health Policy

Background:

  • Argentina's health system is fragmented, with a rising burden of non-communicable diseases.
  • Limited government initiatives and research funding hinder the adoption of shared decision making (SDM).
  • Recent legislation supports patient rights and informed decision-making, creating a foundation for SDM.

Purpose of the Study:

  • To describe the current state of shared decision making (SDM) in Argentina.
  • To identify challenges and opportunities for implementing SDM in the Argentine healthcare context.
  • To highlight the pioneering efforts of a specific research group in promoting SDM.

Main Methods:

  • Qualitative assessment of the Argentine health system's structure and policies related to SDM.
Keywords:
ArgentinaArgentinienImplementierungPatientenbeteiligungPatientenrechteimplementationpartizipative Entscheidungsfindungpatient involvementpatients’ rightsshared decision making

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  • Description of research, training, and clinical implementation activities focused on SDM.
  • Analysis of barriers and facilitators for SDM adoption.

    • Main Results:

    • A single institution leads SDM efforts in Argentina, facing significant systemic and resource-related challenges.
    • Key barriers include health system fragmentation, limited funding, and geographical isolation.
    • Despite challenges, progress is being made in patient rights and a dedicated group is committed to advancing SDM.

    Conclusions:

    • The current healthcare landscape in Argentina presents substantial obstacles to widespread SDM implementation.
    • Government support and unified research agendas are crucial for advancing SDM.
    • The dedicated research group plans to sustain and expand its SDM initiatives despite systemic limitations.