CURRENT ASPECTS OF ENGAGING PATIENTS TO SHARED DECISION-MAKING AND PARTNER PARTICIPATION IN THE TREATMENT PROCESS (review)

Abstract

The aim of the research: to conduct an analysis and generalization of scientific publications on the engaging patients to shared decision-making and partner participation in the treatment process. Materials and methods. The analysis and generalization of scientific publications on the implementation of shared decision-making strategy and the engaging of patients to self-management and participation in the treatment process were carried out. Methods were used: systematic approach, bibliosemantic, analytical. Results. In modern conditions, partner participation of patients in the treatment process has become a mandatory component of the development of a patient- centered model of medical care and is recommended by the WHO. A necessary component of this process is the implementation of shared decision-making strategy by the doctor and the patient. Organizational approaches to the implementation of the shared decision-making strategy in clinical practice are being improved and generalized, in particular, in 2021 NICE (Great Britain) experts published guideline NG197 «Shared decision-making». One of the most important factors of the shared decision-making strategy implementation in clinical practice is the training of medical staff on improving communication skills and empathy, engaging the patient to independent control of the disease, etc. WHO pays considerable attention to the engaging of patients self-management of health status and treatment results, as a component of patient partnership in the organization of medical care. It has been proven that self-management programs reduce the number of unplanned hospitalizations of patients with chronic obstructive pulmonary disease and bronchial asthma, heart failure, etc. A wide range of approaches have been proposed to support patient engagement in self-management and partnership in treatment, including information leaflets, online peer support, individual counselling, group educational sessions, telephone coaching, symptom monitoring technologies and change interventions psychological behavior. Conclusions: The implementation of a patient-centered model of medical care requires engaging patients in the treatment process as partners, which involves joint decision-making by the doctor and patient and self-management. It is essential to improve the communication skills of physicians and educate patients about participating in shared decision-making and self-management.