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Shared decision making and support for self-management: a rationale for change.

Nick Lewis-Barned¹

¹Northumbria Healthcare NHS Foundation Trust, Wansbeck Hospital, Northumberland, UK.

Future Hospital Journal

|May 18, 2019

Summary

Shared decision making and patient self-management support transform healthcare by fostering a partnership between professionals and patients. This collaborative approach prioritizes patient preferences alongside medical evidence for jointly agreed care plans.

Keywords:

Shared decision making clinical interactions person-centred care support for self-management

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Area of Science:

Healthcare delivery
Patient-centered care
Health services research

Background:

Traditional health professional-patient relationships often exhibit inequalities.
Over the past two decades, new models have emerged to address these imbalances.
Shared decision making and self-management support represent key advancements.

Purpose of the Study:

To explore the synergies between shared decision making and patient self-management support.
To outline the requirements for implementing a partnership approach in healthcare.
To advocate for the system-wide extension of collaborative practices.

Main Methods:

Conceptual analysis of existing practices in shared decision making and self-management support.
Identification of necessary cultural, skill-based, and systemic changes.
Review of current healthcare system structures and potential for integration.

Main Results:

Shared decision making and self-management support create a synergistic partnership model.
Effective implementation requires a culture of collaboration, enhanced patient communication skills, and supportive systems/tools.
Existing practices provide a foundation for broader healthcare system adoption.

Conclusions:

A partnership model, integrating shared decision making and self-management support, can fundamentally improve the health professional-patient relationship.
Systemic changes are crucial to embed these patient-centered approaches across healthcare.
Extending these collaborative practices is essential for equitable and effective healthcare delivery.