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Accelerating implementation of shared decision-making in the Netherlands: An exploratory investigation
Haske van Veenendaal1, Trudy van der Weijden2, Dirk T Ubbink3
1Erasmus School of Health Policy & Management, Erasmus University Rotterdam, P.O. Box 1738, 3000 DR, Rotterdam, The Netherlands.
Patient Education and Counseling
|July 15, 2018
Summary
Implementing shared decision-making (SDM) requires stimulating clinician motivation, training, patient empowerment, and supportive policies. Nationwide collaboration is key to integrating SDM into healthcare systems.
Area of Science:
- Healthcare implementation science
- Patient-centered care
- Health systems research
Background:
- Shared decision-making (SDM) is crucial for patient-centered care but faces implementation challenges.
- Understanding barriers and facilitators is essential for effective SDM integration into daily practice.
Purpose of the Study:
- To prioritize strategies for implementing shared decision-making (SDM) in daily practice.
- To develop an agenda for a nationwide approach to SDM implementation.
Main Methods:
- A qualitative, exploratory study using interviews (N=43), focus groups (N=51), and written feedback (n=19).
- Involved diverse stakeholders including professionals, patients, researchers, and policymakers.
- Examined determinants at concept, clinician/patient, organizational, and socio-political levels.
Main Results:
- Identified perceived barriers and facilitators to SDM implementation.
- Proposed four key strategies: stimulating clinician motivation, training and routine practice implementation, patient empowerment, and creating an enabling socio-political context.
Conclusions:
- Clinicians find SDM rewarding, but implementation requires significant redesign of clinical pathways.
- Influencing clinician and patient behavior and adapting pathways are critical for exploring patient values.
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