Special Issue / Schwerpunkt| Volume 123, P95-98, June 2017

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Shared decision making in Taiwan


      The paper aims to introduce the current status of shared decision making (SDM) in Taiwan under its mixed health care system and single-payer health insurance system. With experiences in promoting both evidence based medicine and patient safety, the Joint Commission of Taiwan has implemented a nationwide SDM program under the aegis of the Ministry of Health and Welfare since 2016, incorporating multiple approaches such as developing patient decision aids (PDAs), executing the Medical Decision Aids Campaign, establishing a SDM platform, and integrating SDM in clinical practice. In this article, we share the positive and negative responses to the SDM program from hospitals, health care providers, and patients.


      In diesem Beitrag stellen wir den aktuellen Stand der partizipativen Entscheidungsfindung (PEF) in Taiwan unter den Bedingungen eines gemischten Gesundheitsversorgungssystems und eines Krankenversicherungssystems nach dem Single-Payer-Modell vor. Auf der Grundlage ihrer Erfahrungen mit der Förderung von evidenzbasierter Medizin und Patientensicherheit hat die Gemeinsame Kommission in Taiwan seit 2016 begonnen, unter der Schirmherrschaft des Ministeriums für Gesundheit und Soziales ein landesweites PEF-Programm zu implementieren, das vielfältige Ansätze wie die Entwicklung von Entscheidungshilfen für Patienten, die Durchführung einer Kampagne zum Thema medizinische Entscheidungshilfen, die Einrichtung einer PEF-Plattform und die Integration von partizipativer Entscheidungsfindung in die klinische Praxis umfasst. Darüber hinaus berichten wir über die positiven und negativen Reaktionen auf das PEF-Programm vonseiten der Krankenhäuser, der Gesundheitsdienstleister und der Patienten.



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