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Gaceta Sanitaria
Print version ISSN 0213-9111
Abstract
GARCIA-ALTES, Anna; PEIRO, Manel and ARTELLS, Joan Josep. Prioritising measures for consolidating shared decision-making in the services rendered by the Spanish National Health System. Gac Sanit [online]. 2019, vol.33, n.5, pp.408-414. Epub Dec 23, 2019. ISSN 0213-9111. https://dx.doi.org/10.1016/j.gaceta.2018.04.017.
Objective
Identify and prioritize according to their relevance, measures, interventions and indispensable instruments to support the establishment of a strategic framework in the Spanish National Health System to enable the responsible and informed exercise of the autonomy of its users and patients for shared decision-making.
Method
Group consultation, structured according to procedures adapted from brainstorming techniques, nominal group and Rand consensus method.
Results
The 10 panellists proposed 53 possible actions focusing on “macro” structural measures (legal support and explicit prioritization of shared decision-making on health policy, curricular measures of the teaching system and dynamisation of cultural change), “meso” (generation and dissemination of accredited information by specific research lines and instruments to help shared decision-making), and “micro” activities (measures to stimulate the introduction of shared decision-making in the agency relationship with citizen and users of the healthcare system).
Conclusions
The consensus emerging from the consultation points to the need to incorporate into the strategic priorities of health policy, structural measures that support and encourage the development of shared decision-making in a number of specific areas of evolution and change in the relationship between health professionals and patients as an attribute of quality in access to the benefits and services of the public healthcare system.
Keywords : Qualitative research; Health priorities; Decision making; National health programs.