Abstract
Shared decision making in the United States is increasingly being recognized as part
of value-based care. During the last decade, several state and federal initiatives
have linked shared decision making with reimbursement and increased protection from
litigation. Additionally, private and public foundations are increasingly funding
studies to identify best practices for moving shared decision making from the research
world into clinical practice. These shifts offer opportunities and challenges for
ensuring effective implementation.
Zusammenfassung
Partizipative Entscheidungsfindung wird in den Vereinigten Staaten zunehmend als Bestandteil
einer wertorientierten Gesundheitsversorgung verstanden. Im vergangenen Jahrzehnt
haben mehrere bundes- und gesamtstaatliche Initiativen die Vergütung von Gesundheitsleistungen
mit partizipativer Entscheidungsfindung verknüpft und Ärzten einen höheren Schutz
vor Klagen wegen Behandlungsfehlern gewährt. Darüber hinaus fördern private und öffentliche
Institutionen in zunehmendem Maße Best-Practice-Studien, die darauf abzielen, partizipative
Entscheidungsfindung aus der Forschung in den klinischen Alltag zu überführen. Diese
Entwicklungen eröffnen Chancen, stellen im Hinblick auf die Sicherstellung einer effektiven
Implementierung aber auch eine Herausforderung dar.
Keywords
Schlüsselwörter
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Article info
Publication history
Published online: May 20, 2017
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© 2017 Published by Elsevier Inc.
