Looking for a more participative healthcare: sharing medical decision making

Authors

  • Paulina Bravo Escuela de Enfermería, Pontificia Universidad Católica de Chile, Chile. School of Medicine, Cardiff University. Reino Unido. Enfermera, doctora en Salud Pública.
  • Aixa Contreras Escuela de Enfermería, Pontificia Universidad Católica de Chile, Chile. enfermera matrona, magister en Psicología Social Comunitaria.
  • Lilisbeth Perestelo-Pérez Servicio de Evaluación del Servicio Canario de la Salud, Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC). España. psicóloga, doctora en Psicología Clínica y de la Salud.
  • Jeanette Pérez-Ramos Fundación Canaria de Investigación y Salud (FUNCIS). España. psicóloga.
  • Germán Málaga Conocimiento y Evidencia (CONEVID), Universidad Peruana Cayetano Heredia. Lima, Perú. médico internista, magister en Medicina.

DOI:

https://doi.org/10.17843/rpmesp.2013.304.254

Keywords:

Decision making, Health communication, Evidence-based medicine

Abstract

The healthcare model is shifting from a paternalistic towards a more inclusive and participative approach, such as shared decision making (SDM). SDM considers patients as autonomous and responsible agents. SDM is a therapeutic approach where healthcare providers and patients share the best evidence available to make a decision according to the values and preferences of the patient. Decision aids are tools that can facilitate this information exchange. These tools help patients to increase knowledge about options, reduce decisional conflict and improve satisfaction. Additionally, communication skills play a key role within the professional-patient relationship, as they facilitate sharing information and preferences in an effective and respectful manner. This therapeutic approach could support the reduction of health inequalities that affect Latin America, as it promotes an active and informed participation of patients in their healthcare process.

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Author Biography

  • Aixa Contreras, Escuela de Enfermería, Pontificia Universidad Católica de Chile, Chile. enfermera matrona, magister en Psicología Social Comunitaria.
    Jeanette

Published

2014-03-11

Issue

Section

Special Section

How to Cite

1.
Bravo P, Contreras A, Perestelo-Pérez L, Pérez-Ramos J, Málaga G. Looking for a more participative healthcare: sharing medical decision making. Rev Peru Med Exp Salud Publica [Internet]. 2014 Mar. 11 [cited 2024 Jun. 22];30(4). Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/254

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