Shared decision making in Australia in 2017

Lyndal Trevena; Heather L Shepherd; Carissa Bonner; Jesse Jansen; Anne E Cust; Julie Leask; Narelle Shadbolt; Chris Del Mar; Kirsten McCaffery; Tammy Hoffmann

doi:10.1016/j.zefq.2017.05.011

Shared decision making in Australia in 2017

Z Evid Fortbild Qual Gesundhwes. 2017 Jun:123-124:17-20. doi: 10.1016/j.zefq.2017.05.011. Epub 2017 May 18.

Authors

Affiliations

¹ ASK-GP Centre of Research Excellence, Sydney School of Public Health, University of Sydney, NSW, Australia. Electronic address: lyndal.trevena@sydney.edu.au.
² ASK-GP Centre of Research Excellence, CeMPED, School of Public Health, The University of Sydney, PoCoG, School of Psychology, The University of Sydney, Australia.
³ ASK-GP Centre of Research Excellence, Sydney School of Public Health, University of Sydney, NSW, Australia.
⁴ Wiser Healthcare, ASK-GP Centre of Research Excellence, Sydney School of Public Health, The University of Sydney, NSW, Australia.
⁵ ASK-GP Centre of Research Excellence, Sydney School of Public Health, The University of Sydney, NSW, Australia.
⁶ ASK-GP Centre of Research Excellence, Sydney School of Public Health, the University of Sydney, NSW, 2006, Australia, Sydney School of Nursing, the University of Sydney, NSW, Australia.
⁷ ASK-GP Centre of Research Excellence, Sydney Medical School, University of Sydney, NSW, Australia.
⁸ ASK-GP Centre for Research Excellence, Centre for Research in Evidence-Based Practice, Bond University, Gold Coast, QLD, Australia.
⁹ CEMPED, Wiser Healthcare, ASK-GP Centre of Research Excellence, Sydney School of Public Health, The University of Sydney, NSW, Australia.

PMID: 28527638
DOI: 10.1016/j.zefq.2017.05.011

Abstract

Shared decision making (SDM) is now firmly established within national clinical standards for accrediting hospitals, day procedure services, public dental services and medical education in Australia, with plans to align general practice, aged care and disability service. Implementation of these standards and training of health professionals is a key challenge for the Australian health sector at this time. Consumer involvement in health research, policy and clinical service governance has also increased, with a major focus on encouraging patients to ask questions during their clinical care. Tools to support shared decision making are increasingly used but there is a need for more systemic approaches to their development, cultural adaptation and implementation. Sustainable solutions to ensure tools are kept up-to-date with the best available evidence will be important for the future.

Keywords: Australia; Australien; Konsumenten; Politik; consumers; partizipative Entscheidungsfindung; policy; shared decision making.

Publication types

Review

MeSH terms

Australia
Community Participation*
Decision Making*
Health Services Research*
Humans
Patient Participation