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Implementing shared decision-making in Australia.

Marguerite C Tracy1, Rachel Thompson2, Danielle Marie Muscat1

  • 1Sydney Health Literacy Lab, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.

Zeitschrift Fur Evidenz, Fortbildung Und Qualitat Im Gesundheitswesen
|May 13, 2022
PubMed
Summary
This summary is machine-generated.

Person-centred care (PCC) and shared decision-making (SDM) are national health standards in Australia. Challenges remain in implementing and measuring PCC and SDM, despite increased consumer involvement and new support tools.

Keywords:
AustraliaAustralienGesundheitskompetenzHealth literacyPartizipative EntscheidungsfindungPerson-centred carePersonenzentrierte VersorgungPolicyPolitikShared decision-making

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Area of Science:

  • Health Services Research
  • Clinical Practice Standards
  • Consumer Health Engagement

Background:

  • Person-centred care (PCC) and shared decision-making (SDM) are increasingly integrated into Australian national clinical standards across various healthcare settings.
  • New standards now encompass primary health care and digital mental health services, building upon existing accreditations for hospitals, surgical facilities, dental services, and medical education.
  • Growing consumer involvement in health research, policy, and clinical governance is evident, with national bodies encouraging community participation.

Purpose of the Study:

  • To examine the current landscape and challenges associated with the implementation and measurement of person-centred care (PCC) and shared decision-making (SDM) within the Australian health sector.
  • To identify the impact of increased consumer engagement on health service delivery and health literacy.
  • To assess the development, adaptation, and systemic implementation needs for shared decision-making (SDM) support tools.

Main Methods:

  • Analysis of national clinical standards and accreditation requirements in Australia.
  • Review of trends in consumer involvement in health research, policy, and governance.
  • Assessment of the development, cultural adaptation, and implementation strategies for SDM support tools.

Main Results:

  • Implementation and measurement of PCC and SDM remain significant challenges for Australian healthcare professionals and organizations.
  • Increased consumer engagement is fostering a focus on patient questioning and improving health literacy.
  • While SDM support tools are being culturally adapted, a need for more systemic development and implementation approaches persists.

Conclusions:

  • Despite progress in establishing PCC and SDM standards and increasing consumer involvement, practical implementation and sustainable integration into routine care face ongoing hurdles.
  • Ensuring SDM support tools are systematically developed, implemented, and kept current with the latest evidence is crucial for effective adoption.
  • Addressing challenges in training, measurement, and systemic approaches is essential for realizing the full potential of PCC and SDM in Australian healthcare.