title: Shared decision making in the Netherlands, is the time ripe for nationwide, structural implementation?
abstract: WHAT ABOUT POLICY REGARDING SDM? The Dutch health care system has been reformed in 2006 to make it more patient-oriented and demand-driven. We shortly describe four strategies of this health care reform. Although research projects are now fully spread over the country, a coordinated research agenda on SDM is lacking. WHAT ABOUT TOOLS - DECISION SUPPORT FOR PATIENTS? The Dutch governmental healthcare internet portal for patients hosts 16 patient decision aids. WHAT ABOUT PROFESSIONAL INTEREST AND IMPLEMENTATION? There is quite a strong patient participation movement in the Netherlands, on macro and meso level. Limited effort, related to the local research projects has been put into training professionals in SDM skills. WHAT DOES THE FUTURE LOOK LIKE? We need concerted action on the level of educating health care professionals, empowering patients, making patient decision aids easily accessible, supporting the professionals in this new task, and measuring the process of SDM in performance indicators used in quality assurance. The Dutch Platform for SDM that will be launched in Maastricht in June 2011 is therefore a timely and relevant initiative.
authors.affiliation: Dept General Practice\ CAPHRI School for Public Health and Primary Care, Maastricht University, the Netherlands. trudy.vanderweijden@maastrichtuniversity.nl
authors.forename: Trudy
authors.initials: T
authors.lastname: van der Weijden
authors.forename: Haske
authors.initials: H
authors.lastname: van Veenendaal
authors.forename: Ton
authors.initials: T
authors.lastname: Drenthen
authors.forename: Martine
authors.initials: M
authors.lastname: Versluijs
authors.forename: Peep
authors.initials: P
authors.lastname: Stalmeier
authors.forename: Marije
authors.initials: M
authors.lastname: Koelewijn-van Loon
authors.forename: Anne
authors.initials: A
authors.lastname: Stiggelbout
authors.forename: Danielle
authors.initials: D
authors.lastname: Timmermans
mesh_terms: D001291:Attitude of Health Personnel; D003256:Community Participation / Q000639:trends*; D003661:Decision Support Techniques; D005544:Forecasting; D018166:Health Care Reform / Q000639:trends*; D006284:Health Plan Implementation / Q000639:trends*; D006291:Health Policy / Q000639:trends*; D006801:Humans; D038622:Internationality; D009313:National Health Programs / Q000639:trends*; D009426:Netherlands; D010342:Patient Acceptance of Health Care; D010358:Patient Participation / Q000639:trends*; D011209:Power, Psychological; D011785:Quality Assurance, Health Care / Q000639:trends