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Moving towards patient-centered care and shared decision-making in Germany.

Pola Hahlweg1, Christiane Bieber2, Anna Levke Brütt3

  • 1University Medical Center Hamburg-Eppendorf, Department of Medical Psychology, Hamburg, Germany; University Medical Center Hamburg-Eppendorf, Center for Healthcare Research, Hamburg, Germany.

Zeitschrift Fur Evidenz, Fortbildung Und Qualitat Im Gesundheitswesen
|May 20, 2022
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Summary

Germany is advancing patient-centered care (PCC) and shared decision-making (SDM) through policy and education. While progress is evident, widespread implementation in routine care requires further development of decision tools and training for healthcare providers.

Keywords:
GesundheitspolitikHealth policyImplementationImplementierungPartizipative EntscheidungsfindungPatient involvementPatient-centered carePatientenbeteiligungPatientenzentrierte VersorgungShared decision-making

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Area of Science:

  • Health Policy and Services Research
  • Patient Engagement and Shared Decision-Making
  • Healthcare System Implementation

Background:

  • Patient-centered care (PCC) and shared decision-making (SDM) are increasingly recognized globally.
  • Germany has established a legal framework and policy initiatives to support patient rights and involvement.
  • Previous efforts in PCC and SDM have been documented, highlighting areas for improvement.

Purpose of the Study:

  • To outline the development and current status of PCC and SDM in Germany.
  • To assess policy, research, education, and implementation efforts.
  • To identify remaining challenges and future directions for SDM integration.

Main Methods:

  • Policy analysis of relevant legislation and national action plans.
  • Review of public organizations and initiatives supporting patient involvement.
  • Assessment of educational curricula and research funding in healthcare.
  • Evaluation of current implementation strategies and uptake in routine care.

Main Results:

  • German health policy, including the Law on Patients' Rights, promotes informed decisions and clinician-patient partnerships.
  • Patient and public involvement is increasingly demanded and facilitated through various initiatives and advisory boards.
  • SDM is being integrated into healthcare professional education, with ongoing research and funding initiatives.
  • While policy and education have advanced, routine care implementation of SDM requires further development of decision tools and provider training.

Conclusions:

  • Germany shows significant progress in policy, research, and education for PCC and SDM.
  • Successful nationwide implementation of SDM in routine care necessitates enhanced decision support tools and comprehensive training.
  • A coordinated national approach to PCC and SDM resources is crucial for future advancement.