Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2017 Jun:123-124:104-108.
doi: 10.1016/j.zefq.2017.05.012. Epub 2017 May 20.

Shared decision making as part of value based care: New U.S. policies challenge our readiness

Erica S Spatz  1 , Glyn Elwyn  2 , Benjamin W Moulton  3 , Robert J Volk  4 , Dominick L Frosch  5
Affiliations
Review

Shared decision making as part of value based care: New U.S. policies challenge our readiness

Erica S Spatz et al. Z Evid Fortbild Qual Gesundhwes. 2017 Jun.

Abstract
in English, German

Shared decision making in the United States is increasingly being recognized as part of value-based care. During the last decade, several state and federal initiatives have linked shared decision making with reimbursement and increased protection from litigation. Additionally, private and public foundations are increasingly funding studies to identify best practices for moving shared decision making from the research world into clinical practice. These shifts offer opportunities and challenges for ensuring effective implementation.

Zusammenfassung

Partizipative Entscheidungsfindung wird in den Vereinigten Staaten zunehmend als Bestandteil einer wert-orientierten Gesundheitsversorgung verstanden. Im vergangenen Jahrzehnt haben mehrere bundes- und gesamtstaatliche Initiativen die Vergütung von Gesundheitsleistungen mit partizipativer Entscheidungsfindung geknüpft und Ärzten einen höheren Schutz vor Klagen wegen Behandlungsfehlern gewährt. Darüber hinaus fördern private und öffentliche Institutionen in zunehmendem Maße Best-Practice-Studien, die darauf abzielen, partizipative Entscheidungsfindung aus der Forschung in den klinischen Alltag zu überführen. Diese Entwicklungen eröffnen Chancen, stellen im Hinblick auf die Sicherstellung einer effektiven Implementierung aber auch eine Herausforderung dar.

Keywords: Gesundheitspolitik; Patientenorientierung; Qualität; health policy; informed consent; informierte Einwilligung; partizipative Entscheidungsfindung; patient engagement; quality; shared decision making; value-based care; wertorientierte Versorgung.

PubMed Disclaimer

References

    1. Berwick DM, Nolan TW, Whittington J. The triple aim: care, health, and cost. Health affairs (Project Hope). 2008;27(3):759–769. - PubMed
    1. Muhlestein D, McClellan M. Accountable Care Organizations In 2016: Private And Public-Sector Growth And Dispersion. Health Affairs Blog. 2016.
    1. Barry MJ, Edgman-Levitan S. Shared Decision Making — The Pinnacle of Patient-Centered Care. New England Journal of Medicine. 2012;366(9):780–781. - PubMed
    1. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington DC: The National Academies Press; 2001. - PubMed
    1. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis Institute of Medicine; 2013; Washington, DC. - PubMed

LinkOut - more resources