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European Experience with Shared Decision Making

Author

Listed:
  • Angela Coulter

    (Health Services Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK)

  • Martin Härter

    (Department of Medical Psychology, University Medical Center, Hamburg-Eppendorf, Germany)

  • Nora Moumjid

    (Université de Lyon, Lyon, F-69007, France; Université Lyon 1, Villeurbanne, F-69100, France ; CNRS, GATE Lyon Saint-Etienne, Ecully, F-69130, France. Centre Léon Bérard, Lyon, France)

  • Lilisbeth Perestelo-Perez

    (Evaluation Unit, Canary Islands Health Service, Tenerife, Spain)

  • Trudy van der Weijden

    (Department of Family Medicine, Research School for Public Health and Primary Care CAPHRI, Maastricht University)

Abstract

Background : Shared decision making (SDM) is frequently advocated but not yet widely implemented in European countries. Experience suggests that various incentives must be in alignment to encourage wider uptake. Objectives : To assess readiness for mainstream implementation of SDM in five European countries. Methods : Qualitative assessment of clinical policies and the availability of various SDM support services in Germany, France, Spain, the Netherlands and the UK. Results : All five countries have research groups working on SDM, patient groups calling for its wider use, and ethical and professional standards indicating its desirability, but apart from a small number of demonstration projects, there is no evidence of a systematic approach to implementation in any of the countries as yet. Conclusions : Greater attention will need to be given to the provision of effective leadership, training and practical support if SDM is to become a regular feature of clinical practice in these countries.

Suggested Citation

  • Angela Coulter & Martin Härter & Nora Moumjid & Lilisbeth Perestelo-Perez & Trudy van der Weijden, 2015. "European Experience with Shared Decision Making," Working Papers 1538, Groupe d'Analyse et de Théorie Economique Lyon St-Étienne (GATE Lyon St-Étienne), Université de Lyon.
    • Handle: RePEc:gat:wpaper:1538
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    File URL: ftp://ftp.gate.cnrs.fr/RePEc/2015/1538.pdf
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    References listed on IDEAS

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    1. Pauline Roux & Christine Durif-Bruckert & Christelle Faure & Hervé Mignotte & Nora Moumjid, 2015. "Shared decision making in medical encounters regarding breast cancer treatment: The contribution of methodological triangulation," Post-Print halshs-00982083, HAL.
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    Cited by:

    1. Vogel, Amyn & Balzer, Felix & Fürstenau, Daniel, 2021. "The social construction of the patient-physician relationship in the clinical encounter: Media frames on shared decision making in Germany," Social Science & Medicine, Elsevier, vol. 289(C).

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    1. Angela Coulter & Martin Härter & Nora Moumjid-Ferdjaoui & Lilisbeth Perestelo-Perez & Trudy van Der Weijden, 2015. "European Experience with Shared Decision Making," Working Papers halshs-01247699, HAL.

    More about this item

    Keywords

    shared decision making; France; Germany; Spain; Netherlands; UK;
    All these keywords.

    JEL classification:

    • D7 - Microeconomics - - Analysis of Collective Decision-Making
    • D8 - Microeconomics - - Information, Knowledge, and Uncertainty

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