European Experience with Shared Decision Making

Angela Coulter, Martin Härter, Nora Moumjid, Lilisbeth Perestelo-Perez and Trudy van der Weijden
Additional contact information
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

No 1538, Working Papers from Groupe d'Analyse et de Théorie Economique Lyon St-Étienne (GATE Lyon St-Étienne), Université de Lyon

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.

Keywords: shared decision making; France; Germany; Spain; Netherlands; UK (search for similar items in EconPapers)
JEL-codes: D7 D8 (search for similar items in EconPapers)
Date: 2015
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Citations: View citations in EconPapers (1)

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