Sustainability of large-scale implementation of shared decision making with the SHARE TO CARE program.
SDM implementation
decision aids
patient activation
shared decision making (SDM)
sustainability
training of physicians
Journal
Frontiers in neurology
ISSN: 1664-2295
Titre abrégé: Front Neurol
Pays: Switzerland
ID NLM: 101546899
Informations de publication
Date de publication:
2022
2022
Historique:
received:
05
09
2022
accepted:
01
11
2022
entrez:
12
12
2022
pubmed:
13
12
2022
medline:
13
12
2022
Statut:
epublish
Résumé
SHARE TO CARE (S2C) is a comprehensive implementation program for shared decision making (SDM). It is run at the University Hospital Schleswig-Holstein (UKSH) in Kiel, Germany, and consists of four combined intervention modules addressing healthcare professionals and patients: (1) multimodal training of physicians (2) patient activation campaign including the ASK3 method, (3) online evidence-based patient decision aids (4) SDM support by nurses. This study examines the sustainability of the hospital wide SDM implementation by means of the Neuromedical Center comprising the Departments of Neurology and Neurosurgery. Between 2018 and 2020, the S2C program was applied initially within the Neuromedical Center: We implemented the patient activation campaign, trained 89% of physicians ( Patients reported a significantly increased SDM level (PICS The S2C program demonstrated its sustainability within the Neuromedical Center at UKSH Kiel in terms of increased SDM and health literacy. Maintaining the SDM implementation required a fraction of the initial intensity. The departments took on the responsibility for maintenance. Meanwhile, an additional health insurance-based reimbursement for S2C secures the continued application of the program. SHARE TO CARE promises to be suitable for long-lasting implementation of SDM in hospitals.
Identifiants
pubmed: 36504657
doi: 10.3389/fneur.2022.1037447
pmc: PMC9726727
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1037447Informations de copyright
Copyright © 2022 Stolz-Klingenberg, Bünzen, Coors, Flüh, Margraf, Wehkamp, Clayman, Scheibler, Wehking, Rüffer, Schüttig, Sundmacher, Synowitz, Berg and Geiger.
Déclaration de conflit d'intérêts
FG and FS are co-founders, JR is CEO and co-funder of SHARE TO CARE Patientenzentrierte Versorgung GmbH (Cologne/Germany). JR is CEO of TakePart Media + Science GmbH, Cologne, Germany. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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