Shared decision-making in the Netherlands:Progress is made, but not for all. Time to become inclusive to patients

Dutch initiatives targeting shared decision-making (SDM) are still growing, supported by the government, the Federation of Patients' Organisations, professional bodies and healthcare insurers. The large majority of patients prefers the SDM model. The Dutch are working hard to realise improvement in the application of SDM in daily clinical practice, resulting in glimpses of success with objectified improvement on observed behavior. Nevertheless, the culture shift is still ongoing. Large-scale uptake of SDM behavior is still a challenge. We haven't yet fully reached the patients' needs, given di... Mehr ...

Verfasser: van der Weijden, Trudy
van der Kraan, Josine
Brand, Paul L P
van Veenendaal, Haske
Drenthen, Ton
Schoon, Yvonne
Tuyn, Eline
van der Weele, Gerda
Stalmeier, Peep
Damman, Olga C
Stiggelbout, Anne
Dokumenttyp: Artikel
Erscheinungsdatum: 2022
Reihe/Periodikum: van der Weijden , T , van der Kraan , J , Brand , P L P , van Veenendaal , H , Drenthen , T , Schoon , Y , Tuyn , E , van der Weele , G , Stalmeier , P , Damman , O C & Stiggelbout , A 2022 , ' Shared decision-making in the Netherlands : Progress is made, but not for all. Time to become inclusive to patients ' , Zeitschrift fur evidenz fortbildung und qualitaet im gesundheitswesen , vol. 171 , pp. 98-104 . https://doi.org/10.1016/j.zefq.2022.04.029
Schlagwörter: Decision Making / Shared / Germany / Humans / Netherlands / Patient Participation
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29190214
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://hdl.handle.net/11370/0ad06ce2-0611-47c4-aeb8-647a2bd0f3b6

Dutch initiatives targeting shared decision-making (SDM) are still growing, supported by the government, the Federation of Patients' Organisations, professional bodies and healthcare insurers. The large majority of patients prefers the SDM model. The Dutch are working hard to realise improvement in the application of SDM in daily clinical practice, resulting in glimpses of success with objectified improvement on observed behavior. Nevertheless, the culture shift is still ongoing. Large-scale uptake of SDM behavior is still a challenge. We haven't yet fully reached the patients' needs, given disappointing research data on patients' experiences and professional behavior. In all Dutch implementation projects, early adopters, believers or higher-educated persons have been overrepresented, while patients with limited health literacy have been underrepresented. This is a huge problem as 25% of the Dutch adult population have limited health literacy. To further enhance SDM there are issues to be addressed: We need to make physicians conscious about their limited application of SDM in daily practice, especially regarding preference and decision talk. We need to reward clinicians for the extra work that comes with SDM. We need to be inclusive to patients with limited health literacy, who are less often actually involved in decision-making and at the same time more likely to regret their chosen treatment compared to patients with higher health literacy.