Implementing shared decision-making in Australia

Marguerite C Tracy; Rachel Thompson; Danielle Marie Muscat; Carissa Bonner; Tammy Hoffmann; Kirsten McCaffery; Heather L Shepherd

doi:10.1016/j.zefq.2022.04.002

Implementing shared decision-making in Australia

Z Evid Fortbild Qual Gesundhwes. 2022 Jun:171:15-21. doi: 10.1016/j.zefq.2022.04.002. Epub 2022 May 11.

Authors

Marguerite C Tracy¹, Rachel Thompson², Danielle Marie Muscat³, Carissa Bonner³, Tammy Hoffmann⁴, Kirsten McCaffery³, Heather L Shepherd⁵

Affiliations

¹ Sydney Health Literacy Lab, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia. Electronic address: marguerite.tracy@sydney.edu.au.
² Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
³ Sydney Health Literacy Lab, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
⁴ Centre for Evidence-Informed Health Decisions in the Institute of Evidence-Based Healthcare, Bond University, Robina, Australia.
⁵ Sydney Health Literacy Lab, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia; Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.

PMID: 35562274
DOI: 10.1016/j.zefq.2022.04.002

Abstract

Person-centred care (PCC) and shared decision-making (SDM) are part of national clinical standards for an increasing number of areas of health care delivery. In addition to existing standards for accrediting hospitals, day surgery facilities, public dental services and medical education in Australia, new standards governing primary health care and digital mental health services have been added. Implementation and measurement of PCC and SDM to comply with standards, and training of health professionals, remain challenges for the Australian health sector. Consumer involvement in health research, policy and clinical service governance continues to increase and the National Health and Medical Research Council has begun to encourage consumer and community involvement in health and medical research. This increased consumer engagement and moves towards more PCC provision is reflected in a focus on encouraging patients to ask questions during their clinical care and supports improvements in consumer health literacy. SDM support tools are now being culturally adapted whilst a need for more systemic approaches to their development and implementation persists. With increasing resources and tools for all aspects of PCC and SDM challenges to find sustainable solutions to ensure tools are kept up to date with the best available evidence remain.

Keywords: Australia; Australien; Gesundheitskompetenz; Health literacy; Partizipative Entscheidungsfindung; Person-centred care; Personenzentrierte Versorgung; Policy; Politik; Shared decision-making.

MeSH terms

Australia
Decision Making*
Decision Making, Shared
Germany
Humans
Patient Participation*