Shared decision making in the physician-patient encounter in France: a general overview in 2011

Moumjid, Nora; Durif‐Bruckert, Christine; Denois-Régnier, Véronique; Roux, Pauline; Soum-Pouyalet, Fanny

doi:10.1016/j.zefq.2011.04.016

Cited by 10 publications

(5 citation statements)

References 4 publications

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“…In some countries such as the USA [ 118 ], the UK [ 76 ], Australia [ 79 ], France [ 119 ], Germany [ 120 ], and Italy [ 14 ], legislation and government policies support SDM. However the need for further training, tools, and evidence is emphasised and SDM-related initiatives and studies need to be sponsored.…”

Section: Resultsmentioning

confidence: 99%

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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Section: Resultsmentioning

confidence: 99%

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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“…Respect for the person, the individual's right to self-determination with mutual respect and understanding of each other is the basis for person-centred care, where the result aims to lead to well-being, satisfaction and participation in care (McCormack & McCance 2006). Patient participation has been focused upon both nationally and internationally during the last few decades, and efforts have been made to enhance patient participation in care (WHO 1994, Moumjid et al 2011, Tritter 2011, Socialstyrelsen 2012. In Sweden, patient participation has recently been further enhanced by a new Patient Act.…”

Section: Conceptual Standpoints Participation In Carementioning

confidence: 99%

Participation in heart failure home-care : Patients’ and partners’ perspectives

Näsström¹

2015

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Introduction: Patient participation is important for improving outcomes and respecting selfdetermination and legal aspects in care. Heart failure is a chronic condition that puts high demands on self-care and patient participation. Patients often need advanced care due to deterioration of their heart failure symptoms, and one option is to provide care as home-care. There is limited knowledge of how patients with heart failure and their partners view participation in home-care. Aim: The overall aim of this thesis was to describe different perspectives of participation in structured heart failure home-care among patients with heart failure and their partners. Methods: All patients in this thesis received structured heart failure home-care, according to a model aiming to facilitate care, where safety, participation, and gaining knowledge about the illness and treatment, are in focus. Study I had a prospective pre-post longitudinal design including 100 patients with heart failure receiving home-care. Data was collected by selfadministered questionnaires. Study II had a descriptive design. Nineteen patients receiving home-care were interviewed, and data was analysed using qualitative content analysis. Study III had a descriptive and explorative design. Data was collected by video-recorded observations of 19 home visits and analysed by qualitative content analysis. Study IV had a parallel convergent mixed-method design including 15 partners of patients receiving structured home-care. Data was collected by interviews and self-administered questionnaires. Datasets were first analysed separately and then together. Results: Better self-care behaviour was significantly associated with all measured aspects of participation. Participation by received information increased significantly during the 12-month follow-up (I). Patients’ descriptions of participation included communication between patients and health care professionals, access to care, active involvement in care, a trustful relation with health care professionals, and options for decision-making(II). Observed care encounters revealed that participation was made possible by; (i) interaction, including exchange of care-related information, care-related reasoning, and collaboration, (ii) an enabling approach, including the patient expresses own wishes and shows an active interest, and the nurse is committed and invites to a dialogue (III). Partners scored fairly positive for their participation in care and they performed different levels of caregiving tasks. Descriptions of participation included; adapting to the caring needs and illness trajectory, mastering caregiving demands, interacting with care providers, and gaining knowledge to comprehend the health situation. The mixed-method results showed both convergent results and expanded knowledge (IV). Conclusions: Structured heart failure home-care facilitated participation both for patients and their partners. Patient participation with regard to received information improved significantly after receiving home-care. As...

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“…Auch die gesundheitsbezogene Lebensqualität als Ergebnis onkologischer Behandlung kann sich verbessern [ 50 ] oder ist zumindest moderat langfristig positiv mit dem Entscheidungsstil assoziiert (r = 0,37 [ 55 ] ). Insgesamt ist die Evidenz der wissenschaftlichen Zusammenhänge in diesem Forschungssegment derzeit gering und noch zu wenig durch eine systematische und aufeinander aufbauende Forschungslogik charakterisiert [ 2 ] ; die Eff ektivität von patientenzentrierten Entscheidungen scheint in erster Linie hinsichtlich psychologischer "weicher" Parameter nachgewiesen.…”

Section: Auswirkungen Von Patientenbeteiligungunclassified

Beteiligung von Patienten an medizinischen Entscheidungen – ein Überblick zu Patientenpräferenzen und Einflussfaktoren

2014

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The involvement of patients in medical treatment decisions has been intensively discussed for several years. The present review article is concerned with the patient participation in medical decision making mainly in the field of oncology. Also discussed are methodological aspects of the measurement of patient involvement and the theoretical approach of shared decision -making. The preference to be involved in decisions is expressed from 16-50% of the patients and depends on socio-demographic and disease-related variables. Positive impact of patient participation is observed essentially as short-term effects and for psychosocial outcome criteria. Further research should consider the methodological aspects and focus on dyadic concepts and various dimensions of patient involvement. It is also important to focus on evaluation of the decision and on the possible (long time) effects in terms of recovery, progression of disease, psychosocial consequences and economic impact.

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Shared decision making in the physician-patient encounter in France: a general overview in 2011

Cited by 10 publications

References 4 publications

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

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

Participation in heart failure home-care : Patients’ and partners’ perspectives

Beteiligung von Patienten an medizinischen Entscheidungen – ein Überblick zu Patientenpräferenzen und Einflussfaktoren

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