[Shared Decision Making (SDM) - Patient and Physician as a Team].
The article provides an overview on Shared Decision Making (SDM), which is considered as the ideal form of physician-patient-interaction by many stakeholders of the health care system. SDM is distinguished from other models of physician-patient-interaction such as the paternalistic model and the information model. Besides the degree of acceptance of SDM in the general population and among physicians, barriers for its implementation will be reported. Indications for SDM as well as strategies and support material for its use in individual consultations will be discussed and illustrated by an oncological case study. Effects of SDM for patients as well as for clinicians will be highlighted. After background information on origins of SDM, its significance with regard to health policy in Germany is discussed.
Klinik für Allgemeine Innere Medizin und Psychosomatik, Zentrum für Psychosoziale Medizin, Universitätsklinikum Heidelberg.
Christiane
C
Bieber
Klinik für Allgemeine Innere Medizin und Psychosomatik, Zentrum für Psychosoziale Medizin, Universitätsklinikum Heidelberg.
Kathrin
K
Gschwendtner
Klinik für Allgemeine Innere Medizin und Psychosomatik, Zentrum für Psychosoziale Medizin, Universitätsklinikum Heidelberg.
Nicole
N
Müller
Klinik für Allgemeine Innere Medizin und Psychosomatik, Zentrum für Psychosoziale Medizin, Universitätsklinikum Heidelberg.
Wolfgang
W
Eich
D017024:Chemotherapy, Adjuvant; D003110:Colonic Neoplasms / Q000523:psychology / Q000628:therapy; D003131:Combined Modality Therapy; D003142:Communication; D003657:Decision Making; D003695:Delivery of Health Care; D004502:Education, Medical, Continuing; D058006:General Practice / Q000193:education; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control / Q000523:psychology; D009367:Neoplasm Staging; D026706:Paternalism; D010817:Physician-Patient Relations; D018570:Risk Assessment