Shared Decision-Making in Chronic Stable Angina and Severe Aortic Stenosis

Area of Science:

• Cardiology
• Health Services Research
• Patient-Centered Care

Background:

• Shared decision-making (SDM) is crucial for aligning patient values with medical knowledge in treatment choices.
• In chronic stable angina, SDM guides decisions between percutaneous coronary intervention and medical therapy.
• For severe aortic valve stenosis, SDM aids selection between transcatheter aortic valve implantation and surgical aortic valve replacement.

Purpose of the Study:

• To explore the implementation and challenges of SDM in South Korea.
• To identify structural improvements for integrating SDM into patient-centered cardiovascular care.

Main Methods:

• Literature review on SDM in cardiovascular disease.
• Analysis of current SDM practices and barriers in the South Korean healthcare system.

Main Results:

• SDM implementation in South Korea faces challenges like limited patient involvement and physician-driven decision-making.
• Multidisciplinary heart team discussions and enhanced patient education tools are identified as key structural improvements.

Conclusions:

• Integrating SDM effectively requires addressing current barriers in South Korea.
• Structural improvements can enhance patient-centered care, improve treatment accessibility, and optimize outcomes for cardiovascular conditions.