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Bravo P, Dois A, Martínez A, González-Agüero M, Soto G, Rioseco A, Campos S, Bustamante C, Vargas I, Stacey D. Advancing towards the implementation of patient-centred care in Chile: An opportunity to effectively practice shared decision-making. ZEITSCHRIFT FUR EVIDENZ, FORTBILDUNG UND QUALITAT IM GESUNDHEITSWESEN 2022; 171:30-35. [PMID: 35643804 DOI: 10.1016/j.zefq.2022.04.022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Revised: 04/11/2022] [Accepted: 04/24/2022] [Indexed: 06/15/2023]
Abstract
In Chile, local normative and guidelines place patient-centred care (PCC) as a desirable means and outcome for each level of health care. Thus, a definition of PCC is provided, and for the first time shared decision-making (SDM) is included as an intended practice. During the past five years the country has shown progress on the implementation of PCC. A large pilot study was conducted in one of the Metropolitan Health Services, and now the health authority is committed to escalate a PCC strategy nationwide. From the practice domain, most of the work is being placed on the training of health professionals. Patients' preparation for the clinical encounter is scarce, thereby limiting their potential to participate in their care. At the research domain, the country shows a strengthened agenda that has advanced from a diagnostic phase (including the exploration from social sciences) to a purposeful stage which involves the development of training programs, patient decision aids, international collaborations, and other PCC interventions. The country is now positioned to secure new initiatives to empower patients and allow them to take an active role, as a key component of PCC and SDM.
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Affiliation(s)
- Paulina Bravo
- School of Nursing, Pontificia Universidad Católica de Chile, Santiago, Chile; Centro Núcleo Milenio Autoridad y Asimetrías de Poder / Millennium Nucleus Center Authority and Power Asymmetries, Santiago, Chile; Instituto Oncológico Fundación Arturo López Pérez, Santiago, Chile.
| | - Angelina Dois
- School of Nursing, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Alejandra Martínez
- School of Nursing, Pontificia Universidad Católica de Chile, Santiago, Chile
| | | | - Gabriela Soto
- Department of Family Medicine, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Andrea Rioseco
- Department of Family Medicine, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Solange Campos
- School of Nursing, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Claudia Bustamante
- School of Nursing, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Irma Vargas
- Departamento de gestión de los cuidados, División de Atención Primaria, Ministerio de Salud, Santiago, Chile
| | - Dawn Stacey
- School of Nursing, University of Ottawa, Ottawa, Canada
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