Shared decision-making and patient and public involvement: Can they become standard in Switzerland?

Kevin Selby; Marie-Anne Durand; Christian von Plessen; Reto Auer; Nikola Biller-Andorno; Tanja Krones; Thomas Agoritsas; Jacques Cornuz

doi:10.1016/j.zefq.2022.04.019

Shared decision-making and patient and public involvement: Can they become standard in Switzerland?

Z Evid Fortbild Qual Gesundhwes. 2022 Jun:171:135-138. doi: 10.1016/j.zefq.2022.04.019. Epub 2022 May 21.

Authors

Kevin Selby¹, Marie-Anne Durand², Christian von Plessen³, Reto Auer⁴, Nikola Biller-Andorno⁵, Tanja Krones⁵, Thomas Agoritsas⁶, Jacques Cornuz⁷

Affiliations

¹ Center for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland. Electronic address: kevin.selby@unisante.ch.
² Center for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland; CERPOP, Université de Toulouse, Inserm, Université Toulouse III - Paul-Sabatier, Toulouse, France.
³ Center for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland; Department of Clinical Research, University of Southern Denmark, C Odense, Denmark.
⁴ Center for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland; Institute of Primary Health Care (BIHAM), University of Bern, Switzerland.
⁵ University of Zürich, Zürich, Switzerland.
⁶ Geneva University Hospital, University of Geneva, Switzerland.
⁷ Center for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland.

PMID: 35610134
DOI: 10.1016/j.zefq.2022.04.019

Abstract

The Swiss healthcare system is highly decentralized, making implementation of shared decision making (SDM) and patient and public involvement (PPI) quite slow; nonetheless, change is happening. SDM is now a core communication competency for medical school graduates, as reflected by a dedicated station on the federal exam, and is endorsed by several national societies. Multiple local initiatives are contributing to international best practices, local implementation, and increased capacity. PPI is also gaining momentum, most notably in research, with the development of a national platform for clinical research and inclusion of patients in the evaluation committees for funding. The challenge now is going from example projects by motivated early adopters in academia to making SDM and PPI standard practice.

Keywords: Partizipative Entscheidungsfindung; Patient and public involvement in research; Patienten- und Öffentlichkeitsbeteiligung in der Forschung; Schweiz; Shared decision-making; Switzerland.

MeSH terms

Decision Making*
Decision Making, Shared*
Germany
Humans
Patient Participation
Switzerland