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Moving shared decision-making forward in Iran.

Samira Abbasgholizadeh-Rahimi1, Nam Nguyen2, Mahasti Alizadeh3

  • 1Department of Family Medicine, McGill University, Montreal, and Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Canada.

Zeitschrift Fur Evidenz, Fortbildung Und Qualitat Im Gesundheitswesen
|May 23, 2022
PubMed
Summary
This summary is machine-generated.

Iran lacks shared decision-making (SDM) policies despite patient rights advancements. This study updates the SDM status in Iran and proposes a culturally adapted model for its implementation.

Keywords:
IranNicht-westliches LandNon-western countryPEF-ModellPartizipative Entscheidungsfindung (PEF)Patient-centered carePatientenzentrierte VersorgungSDM modelShared decision making (SDM)

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Area of Science:

  • Health Policy
  • Medical Ethics
  • Patient-Centered Care

Background:

  • Recent advancements in patients' rights and informed consent legislation in Iran.
  • Absence of specific policies and limited initiatives for shared decision-making (SDM) in the country.
  • The need to address the gap in SDM implementation within the Iranian healthcare system.

Purpose of the Study:

  • To provide an updated overview of the current state of shared decision-making (SDM) in Iran.
  • To explore future directions for SDM implementation in the Iranian context.
  • To propose a culturally adapted SDM model for Iranian clinicians and experts.

Main Methods:

  • Review of the current landscape of shared decision-making (SDM) in Iran.
  • Discussion of future strategies for SDM adoption.
  • Development of a context-specific SDM model through a consensus-building process with healthcare professionals.

Main Results:

  • Identified a significant gap in formal policies and practical implementation of shared decision-making (SDM) in Iran.
  • Highlighted the scarcity of SDM training and clinical initiatives nationwide.
  • Developed a proposed SDM model tailored to the Iranian cultural and clinical context.

Conclusions:

  • Shared decision-making (SDM) is underdeveloped in Iran, necessitating policy development and targeted interventions.
  • A culturally sensitive, consensus-based model is proposed to facilitate SDM implementation.
  • Future efforts should focus on policy creation, training, and integrating SDM into clinical practice in Iran.