Shared decision making in Brazil: history and current discussion

Abreu, Mirhelen Mendes de; Battisti, R.; Martins, Rachel Samhan; Baumgratz, Thiago Dias; Cuziol, M.

doi:10.1016/j.zefq.2011.04.009

Cited by 14 publications

(12 citation statements)

References 10 publications

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“…In 2013 and in 2014, two studies argued its benefits in respect to flu vaccination and cardiovascular health in female patients respectively (21,22). The few studies introducing the practice of SDM to the Croatian community mirror those conducted in Brazil or Chile, where actual research in SDM remains in its infancy (23,24).…”

Section: Challenges To Shared Decision Makingmentioning

confidence: 99%

Transition from paternalism to shared decision making – a review of the educational environment in Bosnia and Herzegovina and Croatia

Vučemilović¹

2016

AMA

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Section: Challenges To Shared Decision Makingmentioning

confidence: 99%

Transition from paternalism to shared decision making – a review of the educational environment in Bosnia and Herzegovina and Croatia

Vučemilović¹

2016

AMA

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“…A widespread lack of interest in SDM by professionals has been reported in Canada [ 77 ]. A similar response was identified in Brazil where SDM is not universally incorporated into clinical practice due to issues ranging from the need for changes to medical education and resistance of health care professionals to the principles of SDM [ 78 ]. In Switzerland, despite the provision of training for medical students on SDM and a number of patient support programs, hierarchical asymmetric doctor-patient relationships prevail [ 15 ].…”

Section: Resultsmentioning

confidence: 83%

Implementing strategies in consumer and community engagement in health care: results of a large-scale, scoping meta-review

Sarrami-Foroushani

Travaglia

Debono

et al. 2014

BMC Health Serv Res

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BackgroundThere is growing recognition of the importance of the active involvement of consumers and community members in health care. Despite the long history of consumer and community engagement (CCE) research and practice, there is no consensus on the best strategies for CCE. In this paper, we identify various dimensions of CCE-related strategies and offer a practical model to assist policy-makers, practitioners and researchers.MethodsWe undertook a large-scale, scoping meta-review and searched six databases using a list of nine medical subject headings (MeSH) and a comprehensive list of 47 phrases. We identified and examined a total of 90 relevant systematic reviews.ResultsIdentified reviews show that although there is a significant body of research on CCE, the development of the field is hindered by a lack of evidence relating to specific elements of CCE. They also indicate a diverse and growing enterprise, drawing on a wide range of disciplinary, political and philosophical perspectives and a mix of definitions, targets, approaches, strategies and mechanisms. CCE interventions and strategies aim to involve consumers, community members and the public in general, as well as specific sub-groups, including children and people from culturally and linguistically diverse backgrounds. Strategies for CCE vary in terms of their aim and type of proposed activity, as do the methods and tools which have been developed to support them. Methods and tools include shared decision making, use of decision aids, consumer representation, application of electronic and internet-based facilities, and peer support. The success of CCE is dependent on both the approach taken and contextual factors, including structural facilitators such as governmental support, as well as barriers such as costs, organisational culture and population-specific limitations.ConclusionsThe diversity of the field indicates the need to measure each component of CCE. This meta-review provides the basis for development of a new eight stage model of consumer and community engagement. This model emphasises the importance of clarity and focus, as well as an extensive evaluation of contextual factors within specific settings, before the implementation of CCE strategies, enabling those involved in CCE to determine potential facilitators and barriers to the process.Electronic supplementary materialThe online version of this article (doi:10.1186/1472-6963-14-402) contains supplementary material, which is available to authorized users.

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“…However, there appear to be aggravating factors in the case of Brazil. The more traditional model of Brazilian medical education does not favor the embracing of this subject, since the development of communication skills has only recently been formally inserted in the country's medical education 22 . The low educational level of the Brazilian population may have been a limiting factor for the development of the shared decision-making habit, since people No intervention.…”

Section: Discussionmentioning

confidence: 99%

Shared decision-making when choosing the feeding method of patients with severe dementia: a systematic review

Derech

Neves

2018

Rev. bras. geriatr. gerontol.

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Objectives: To evaluate whether the use of a support tool for shared decision-making in the choice of feeding method for patients with severe dementia can benefit the patient/caregiver dyad, and to evaluate the quality of the decision-making process. Method: A search was performed in the Medline, LILACS, IBECS, SciELO, WHOLIS databases for randomized controlled trials, whether double-blind or otherwise, and quasi-experimental, cohort, case-control, or cross-sectional observational studies in Portuguese, Spanish, English and French. Results: Eight articles were found that showed that the use of a decision support tool, as an aid for the shared decision-making method, is beneficial as it reduces decisional conflict and increases the knowledge of caregivers about the subject. The quality of the decision-making process is unsatisfactory due to the low frequency of discussions between caregivers and the health team and the poor evaluation of caregivers about the participation of the team in the decision-making process. Conclusion: Decision support tools provide benefits for caregivers/patients undergoing the difficult task of deciding about feeding methods. Findings suggest that the current quality of decision-making is inadequate.

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Shared decision making in Brazil: history and current discussion

Cited by 14 publications

References 10 publications

Transition from paternalism to shared decision making – a review of the educational environment in Bosnia and Herzegovina and Croatia

Transition from paternalism to shared decision making – a review of the educational environment in Bosnia and Herzegovina and Croatia

Implementing strategies in consumer and community engagement in health care: results of a large-scale, scoping meta-review

Shared decision-making when choosing the feeding method of patients with severe dementia: a systematic review

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