Implementation of shared decision-making and patient-centered care in France: Towards a wider uptake in 2022 - Archive ouverte HAL
Article Dans Une Revue Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen Année : 2022

Implementation of shared decision-making and patient-centered care in France: Towards a wider uptake in 2022

Marie-Anne Durand
  • Fonction : Auteur
Elodie Charuel
  • Fonction : Auteur
Julie Haesebaert
  • Fonction : Auteur
Sandrine Hild
Julien Mancini
  • Fonction : Auteur
Cédric Rat
  • Fonction : Auteur
Yves Zerbib
  • Fonction : Auteur
Yves-Marie Vincent
  • Fonction : Auteur
François Blot
  • Fonction : Auteur

Résumé

We present the evolution of patient-centered care (PCC) and shared decision-making (SDM) in France since 2017, highlighting advantages and drawbacks of their implementation at the macro level. We then focus on several key policy and legislative milestones that are aimed to develop PCC and SDM. These milestones underline the importance of patient movements to support and fund the development of research and practice in the field. We shall conclude by presenting the growing research agenda and selected key topics. These key topics notably include the increase in both patient and healthcare professional trainings on PCC and SDM provided by healthcare users’ and patients’ representatives. PCC and SDM continue to be central preoccupations at the macro level, supported by public health policies and patients/healthcare users’ actions. This overview, however, suggests that although implementation initiatives have increased since 2017, implementation remains scarce in routine clinical practice. Funding, not only for research projects, but for the implementation of PCC and SDM in real-life settings (e-decision aids, clinical guidelines integrating PCC/SDM, human resources dedicated to PCC/SDM, etc.) are needed to promote sustained adoption. More systematic training for both healthcare professionals and patients is also warranted for a true acculturation to occur.

Dates et versions

hal-04615985 , version 1 (18-06-2024)

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Nora Moumjid, Marie-Anne Durand, Julien Carretier, Elodie Charuel, Jocelyne Daumer, et al.. Implementation of shared decision-making and patient-centered care in France: Towards a wider uptake in 2022. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen, 2022, 171, pp.42-48. ⟨10.1016/j.zefq.2022.03.001⟩. ⟨hal-04615985⟩

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