Shared decision making in Taiwan

Hsun-Hsiang Liao; Huey-Wen Liang; Hou-Chaung Chen; Ching-I Chang; Pa-Chun Wang; Chung-Liang Shih

doi:10.1016/j.zefq.2017.05.009

Shared decision making in Taiwan

Z Evid Fortbild Qual Gesundhwes. 2017 Jun:123-124:95-98. doi: 10.1016/j.zefq.2017.05.009. Epub 2017 May 17.

Authors

Hsun-Hsiang Liao¹, Huey-Wen Liang², Hou-Chaung Chen³, Ching-I Chang⁴, Pa-Chun Wang⁴, Chung-Liang Shih⁵

Affiliations

¹ Joint Commission of Taiwan, Taiwan, ROC. Electronic address: sdm@jct.org.tw.
² National Taiwan University Hospital and College of Medicine, Taipei, Taiwan, ROC.
³ Taoyuan General Hospital, Ministry of Health and Welfare, Taiwan, ROC.
⁴ Joint Commission of Taiwan, Taiwan, ROC.
⁵ Ministry of Health and Welfare, Taiwan, ROC.

PMID: 28526230
DOI: 10.1016/j.zefq.2017.05.009

Abstract

The paper aims to introduce the current status of shared decision making (SDM) in Taiwan under its mixed health care system and single-payer health insurance system. With experiences in promoting both evidence based medicine and patient safety, the Joint Commission of Taiwan has implemented a nationwide SDM program under the aegis of the Ministry of Health and Welfare since 2016, incorporating multiple approaches such as developing patient decision aids (PDAs), executing the Medical Decision Aids Campaign, establishing a SDM platform, and integrating SDM in clinical practice. In this article, we share the positive and negative responses to the SDM program from hospitals, health care providers, and patients.

Keywords: Entscheidungshilfen für Patienten; Patientensicherheit; Taiwan; evidence-based medicine; evidenzbasierte Medizin; partizipative Entscheidungsfindung; patient decision aids; patient safety; shared decision making.

Publication types

Review

MeSH terms

Decision Making*
Decision Support Techniques
Evidence-Based Medicine
Humans
Patient Participation*
Patient Safety
Taiwan