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Shared decision making development in Switzerland: room for improvement!


Cornuz, J; Kuenzi, B; Krones, T (2011). Shared decision making development in Switzerland: room for improvement! Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen, 105(4):296-299.

Abstract

In Switzerland there is a strong movement at a national policy level towards strengthening patient rights and patient involvement in health care decisions. Yet, there is no national programme promoting shared decision making. First decision support tools (prenatal diagnosis and screening) for the counselling process have been developed and implemented. Although Swiss doctors acknowledge that shared decision making is important, hierarchical structures and asymmetric physician-patient relationships are still prevailing. The last years have seen some promising activities regarding the training of medical students and the development of patient support programmes. Swiss direct democracy and the habit of consensual decision making and citizen involvement in general may provide a fertile ground for SDM development in the primary care setting.

2011. Published by Elsevier GmbH.

In Switzerland there is a strong movement at a national policy level towards strengthening patient rights and patient involvement in health care decisions. Yet, there is no national programme promoting shared decision making. First decision support tools (prenatal diagnosis and screening) for the counselling process have been developed and implemented. Although Swiss doctors acknowledge that shared decision making is important, hierarchical structures and asymmetric physician-patient relationships are still prevailing. The last years have seen some promising activities regarding the training of medical students and the development of patient support programmes. Swiss direct democracy and the habit of consensual decision making and citizen involvement in general may provide a fertile ground for SDM development in the primary care setting.

2011. Published by Elsevier GmbH.

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Additional indexing

Other titles:Entwicklung der Partizipativen Entscheidungsfindung in der Schweiz: Raum für Verbesserungen!
Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Institute of Biomedical Ethics and History of Medicine
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2011
Deposited On:06 Feb 2012 20:13
Last Modified:05 Apr 2016 15:25
Publisher:Elsevier / Urban & Fischer
ISSN:1865-9217 (P) 2212-0289 (E)
Publisher DOI:10.1016/j.zefq.2011.04.008
PubMed ID:21620324
Permanent URL: http://doi.org/10.5167/uzh-56014

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