The implementation of design methodologies for supporting shared decision making in healthcare services: A systematic review.

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Patient Education and Counseling Pub Date : 2024-11-15 DOI:10.1016/j.pec.2024.108551

Yeray Sañudo , Canan Akoglu , Judith A.C. Rietjens , Dirk Snelders , Anne M. Stiggelbout , Jorge Sierra-Pérez

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Abstract

Objectives

This systematic review examines how design methodologies support Shared Decision Making (SDM), identifies the most suitable for future use, explores types of methodologies used, challenges faced, and the impact on patients, clinicians, and care pathways.

Methods

Studies were searched on Medline, Web of Science, Scopus and grey literature (Google Scholar, CORDIS) up to July 2024, following PRISMA guidelines.

Results

were analysed to identify patient involvement, design strategies, SDM solutions, and their impact on care paths, professionals, and patients.

Results

Out of 2499 studies and 39 grey literature projects identified, 22 studies (reported in 35 publications) were selected, primarily from the USA and Europe (2015 onward). User-Centered Design predominated, involving health professionals more than patients. IPDAS standards were common. Evaluations showed improved patient experience and SDM role, with a potential increase in healthcare professionals' workload.

Conclusion

Although design methodologies are used in SDM implementation, improvement is needed. Service Design can enhance implementation by analysing the entire SDM process, while co-creative approaches develop patient-focused solutions that integrate smoothly into health professionals' workflows.

Practical implications

Introducing SDM in healthcare is complex, but design methodologies can help by analysing stakeholder needs, providing a broader care path view, and facilitating SDM implementation.

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在医疗服务中实施支持共同决策的设计方法：系统综述。

目标：本系统综述研究了设计方法如何支持共同决策（SDM），确定了最适合未来使用的方法，探讨了所用方法的类型、面临的挑战以及对患者、临床医生和护理路径的影响：按照 PRISMA 指南，在 Medline、Web of Science、Scopus 和灰色文献（Google Scholar、CORDIS）上检索了截至 2024 年 7 月的研究。结果：分析了患者参与、设计策略、SDM 解决方案及其对护理路径、专业人员和患者的影响：在已确定的 2499 项研究和 39 个灰色文献项目中，选取了 22 项研究（在 35 份出版物中报告），主要来自美国和欧洲（2015 年以后）。以用户为中心的设计占主导地位，医护人员的参与度高于患者。IPDAS 标准很常见。评估结果显示，患者体验和 SDM 作用得到改善，但医护人员的工作量可能会增加：尽管在 SDM 实施过程中使用了设计方法，但仍需改进。服务设计可以通过分析整个 SDM 流程来加强实施，而共同创造的方法则可以开发出以患者为中心的解决方案，顺利融入医疗专业人员的工作流程：在医疗保健中引入 SDM 非常复杂，但设计方法可以通过分析利益相关者的需求、提供更广泛的护理路径视角以及促进 SDM 的实施来提供帮助。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.