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Z Evid Fortbild Qual Gesundhwes. 2017 Jun;123-124:56-60. doi: 10.1016/j.zefq.2017.05.007. Epub 2017 May 19.

On the verge of shared decision making in Israel: Overview and future directions.

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Department of Medical Education, Sackler Faculty of Medicine, Tel-Aviv University, Israel. Electronic address:
Center for Medical Decision Making, Ono Academic College, Kiryat Ono, Israel.
Center for Health Law, Bioethics and Health Policy, Ono Academic College, Kiryat Ono, Israel.
The Dartmouth Institute for Health Policy & Clinical Practice, Geisel Medical School, Dartmouth College, NH, USA.


Israel has a universal-national healthcare system and a progressive health policy legislation which, together, provide its residents with high-level healthcare services and either free or highly subsidized coverage without any pre-existing conditions. However, it is surprising that shared decision making (SDM) practices and policy are not an integral part of Israel's healthcare system. The purpose of this overview is to describe the gap between the organizational-infrastructure compatibility of Israel's universal healthcare policy and the efforts needed to advance SDM as part of routine healthcare practice. Review of recent research and education initiatives will be described as well as recommendations for policy and clinical practice.


Gesundheitspolitik; Israel; health policy; hidden curriculum; partizipative Entscheidungsfindung; shared decision making; verstecktes Curriculum

[Indexed for MEDLINE]

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