Status report from Norway: Implementation of patient involvement in Norwegian health care.

Autor: Kasper J; University Hospital of North Norway, Tromsø, Norway; The Arctic University of Norway, Tromsø, Norway. Electronic address: Juergen.kasper@uit.no., Lager AR; University Hospital of North Norway, Tromsø, Norway., Rumpsfeld M; University Hospital of North Norway, Tromsø, Norway; The Arctic University of Norway, Tromsø, Norway., Kienlin S; University Hospital of North Norway, Tromsø, Norway; The Arctic University of Norway, Tromsø, Norway; South-Eastern Norway Regional Health Authority, Oslo, Norway., Smestad KH; The Norwegian Directorate of eHealth, Oslo, Norway., Bråthen T; Norwegian Directorate of Health, Oslo, Norway., Ankell H; The Norwegian Cancer Society, Oslo, Norway., Knutsen T; University Hospital of North Norway, Tromsø, Norway., Kløvtveit R; User Committee of the South-Eastern Norway Regional Health Authority, Hamar, Norway., Gulbrandsen P; University in Oslo, Faculty of Medicine, Oslo, Norway., Vandvik PO; University in Oslo, Faculty of Medicine, Oslo, Norway; The Norwegian Knowledge Center for Health Services in the Norwegian Institute of Public Health., Heen AF; University in Oslo, Faculty of Medicine, Oslo, Norway., Flottorp S; The Norwegian Knowledge Center for Health Services in the Norwegian Institute of Public Health., Tollåli G; Northern Norway Regional Health Authority; Bodø, Norway., Eiring Ø; South-Eastern Norway Regional Health Authority, Oslo, Norway; The Norwegian Knowledge Center for Health Services in the Norwegian Institute of Public Health.
Jazyk: angličtina
Zdroj: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen [Z Evid Fortbild Qual Gesundhwes] 2017 Jun; Vol. 123-124, pp. 75-80. Date of Electronic Publication: 2017 May 22.
DOI: 10.1016/j.zefq.2017.05.015
Abstrakt: Norway has traditionally high standards regarding civil rights particularly emphasizing equal access to societal resources including health care. This background and the health care system's centralized national organization make it perfectly suited for implementation of shared decision making (SDM). In recent years, great efforts have been made by policy- makers, regional health authorities and not least the patients to facilitate a process of change in health communication culture. SDM is currently even given highest priority in health care strategies on all system levels. SDM has been structurally implemented, e.g. by including corresponding guidance in the standard patient pathways. Moreover, SDM is established as an element of service on the national health portal hosting a constantly increasing number of decision aids. Essentially the Norwegian Knowledge Center for Health Services contributes by searching and providing information for use in decision aids. Implementation is now being rolled out unit by unit for a list of medical problems as a series production of SDM using decision aids and health professional training. Importantly, production of SDM begins and succeeds as a soundly structured communication with both clinical environments and patients. However, as communication training has not been implemented before now, there are no data demonstrating sufficient realization of SDM in current health care. Beyond making reasonable use of scientific achievements, the Norwegian movement's secret of success is the simultaneous commitment of all actors of the health system to a common idea.
(Copyright © 2017. Published by Elsevier GmbH.)
Databáze: MEDLINE
Externí odkaz: