Biomedical subjects

Fülöp Scheibler

Publications and source records attributed to Fülöp Scheibler.

3 recordsLinked to original sources

PubMed2005

[Shared decision-making as a new quality indicator in nephrology: a nationwide survey in Germany].

BACKGROUND AND PURPOSE: Shared decision-making (SDM) as a model in physician-patient interaction is gaining relevance in the German health system. By applying this model, mid- and long-term improvements are expected especially in the outcomes of chronic diseases. Up to now, there has hardly been any empirical data available in German health services research regarding the state and development of SDM. This study establishes a baseline and provides actual data on this subject based on a German-wide survey of end-stage renal disease (ESRD) patients. METHODS: Standardized German-wide survey of 6,614 patients with ESRD. The questionnaire included an instrument to measure the patients' perceived involvement in care (PICS) which had been translated and validated before. RESULTS: 82% of the questioned patients feel their physicians facilitated involvement in decision making. 81% of the patients actively inform themselves concerning their disease and treatment options. 69% state that SDM has taken place. Age, years on dialysis and gender correlate with perceived involvement. CONCLUSION: This paper provides a valid baseline for the prospective research of SDM in ESRD. The results indicate that dialysis patients are willing to participate in the process of medical decision-making. Characteristics and preferences of the patients should be taken into account not only in everyday clinical interactions. They could be monitored systematically within the framework of quality management and used as potential for quality improvement.

Communication↗

PubMed2004

[Shared decision making as a chance of implementing disease management programs].

Since June 2002 disease management programmes have been legally established in Germany. The law demands the patients' active involvement in decision making. First, the present paper will point out that the legal intentions are in accordance with the concept of shared decision making. Second, we will discuss how patients and physicians may be prepared to implement this model within the scope of disease management programmes. For example, knowledge and practical skills in the field of shared decision making should be taught within legally required courses for patients and physicians. In the administrative field shared decision making could be embodied into clinical practice guidelines.

Education, Medical, Continuing↗

PubMed2003

[Shared decision making: an overview of international research literature].

Shared decision making (SDM) is a particular type of physician-patient-interaction to which the patient brings his/her individual preferences and the physician contributes the medical expertise. The aim of the SDM process is a treatment decision based on mutual agreement and active participation. This kind of decision-making is best effectuated in cases of diseases with medical uncertainty and/or differing patient outcome-treatment potentialities (e.g., breast- or prostate cancer). The concept of SDM is widely known in the English-speaking world. A database search with the keywords "shared decision" produced 301 relevant papers, of which 193 are theoretical and 108 empirical works. This paper gives an overview over the state of international research under special consideration in continental European literature. Different questions are explored with regard to potential methodological and contextual research fields. Present results indicate that the level of patient preference to participate in decisions is higher than their actual involvement. Results also prove that SDM leads to higher rates of satisfaction and better treatment results according to patients. Results regarding the efficacy of various intervention methods used to promote SDM, especially within different cultural contexts, are inconsistent. A great amount of research still needs to be done in this field.

Decision Making↗