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Shared Decision-Making in Korean Healthcare: A Scoping Review.
Yelim Kwon1, Seungmin Nam2, Soan Shin1
1Department of Medicine, Hanyang University College of Medicine, Seoul, Korea.
Journal of Korean Medical Science
|September 23, 2025
Summary
This scoping review maps shared decision-making (SDM) research in Korea, finding a growing but fragmented field. Culturally adapted frameworks and validated tools are needed to advance SDM practice and policy.
Area of Science:
- Health Services Research
- Patient-Centered Care
- Medical Decision Making
Background:
- Shared decision-making (SDM) is crucial for patient-centered care, but its research landscape in Korea remains unmapped.
- Understanding the scope and characteristics of SDM research is essential for advancing its implementation in Korean healthcare.
Purpose of the Study:
- To conduct a scoping review of SDM research in Korean healthcare.
- To examine the scope, key themes, conceptual frameworks, instruments, decision aids, and implementation contexts of SDM studies in Korea.
Main Methods:
- Systematic search of nine electronic databases (including Korea-specific ones) for English and Korean studies up to 2024.
- Inclusion of studies involving Korean populations addressing SDM or patient participation in healthcare decisions.
- Adherence to Joanna Briggs Institute methodology and PRISMA-ScR guidelines.
Main Results:
- 62 studies met inclusion criteria from 9,177 records, predominantly using quantitative designs (74.2%).
- Research focused on end-of-life care, oncology, and primary care, with key themes including patient experiences, barriers, and provider perspectives.
- Limited practical application of conceptual models, but emerging culturally tailored frameworks and decision aids were identified.
Conclusions:
- Korean SDM research is growing but thematically fragmented, with underdeveloped conceptual integration and validated instruments.
- Advancing SDM requires culturally grounded frameworks, rigorously validated tools, and system-level support tailored to Korea's context.
- Findings offer insights for similar global settings to enhance SDM practice and policy.
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