Skip to main content

2013 | OriginalPaper | Buchkapitel

22. Partizipative Entscheidungsfindung in der Diabetestherapie – Von der guten Absicht zur guten Tat

verfasst von : Jörg Dirmaier, Dr., Martin Härter, Prof. Dr., Nina Weymann , Dipl. -Psych.

Erschienen in: Psychodiabetologie

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Zusammen mit anderen Ansätzen steht die Partizipative Entscheidungsfindung (PEF) für eine aktivere Beteiligung von Patienten an der Gesundheitsversorgung. Im Rahmen der PEF treffen Patient und Behandler im gegenseitigen Austausch eine gemeinsame, „partizipative“ Entscheidung, für die sie gemeinsam die Verantwortung tragen. Gerade bei schwerwiegenden und/oder chronischen Erkrankungen wie Diabetes ist die PEF indiziert, da der Patient die Entscheidung in seinem Alltag im Rahmen seines Selbstmanagements umsetzen und seine Erfahrungen wieder zurück in die Konsultation tragen soll, um die Entscheidung zu reevaluieren. Eine tragfähige, vertrauensvolle Beziehung zwischen Patient und Behandler ist für das Gelingen dieses Prozesses unabdingbare Voraussetzung. PEF-Schulungen für Patienten und Ärzte sowie Entscheidungshilfen als Unterstützung bei konkreten Behandlungsentscheidungen stehen für die Umsetzung der PEF zur Verfügung. Im deutschsprachigen Raum ist die PEF trotz der vor allem patientenseitigen Befürwortung noch nicht flächendeckend im klinischen Alltag angekommen.
Literatur
Zurück zum Zitat Abadie R, Weymiller AJ, Tilburt J, Shah ND, Charles C, Gafni A, Montori VM (2009) Clinician’s use of the Statin Choice decision aid in patients with diabetes: a videographic study nested in a randomized trial. Journal of Evaluation in Clinical Practice 15:492–497PubMedCrossRef Abadie R, Weymiller AJ, Tilburt J, Shah ND, Charles C, Gafni A, Montori VM (2009) Clinician’s use of the Statin Choice decision aid in patients with diabetes: a videographic study nested in a randomized trial. Journal of Evaluation in Clinical Practice 15:492–497PubMedCrossRef
Zurück zum Zitat Albrecht K, Simon D, Buchholz A, Reuter K, Frosch D, Seebauer L, Härter M (2011) How does a German audience appraise an American decision aid on early stage breast cancer? Patient Education and Counseling 83:58–63PubMedCrossRef Albrecht K, Simon D, Buchholz A, Reuter K, Frosch D, Seebauer L, Härter M (2011) How does a German audience appraise an American decision aid on early stage breast cancer? Patient Education and Counseling 83:58–63PubMedCrossRef
Zurück zum Zitat Bastiaens H, Van Royen P, Pavlic DR, Raposo V, Baker R (2007) Older people’s preferences for involvement in their own care: a qualitative study in primary health care in 11 European countries. Patient Educ Couns 68(1):33–42PubMedCrossRef Bastiaens H, Van Royen P, Pavlic DR, Raposo V, Baker R (2007) Older people’s preferences for involvement in their own care: a qualitative study in primary health care in 11 European countries. Patient Educ Couns 68(1):33–42PubMedCrossRef
Zurück zum Zitat Baum E, Donner-Banzhoff N (2002) Beratung nach dem ARRIBA-Herz-Konzept Der Lipid-Report 2002 Bd. 3./4.., S 55–56 Baum E, Donner-Banzhoff N (2002) Beratung nach dem ARRIBA-Herz-Konzept Der Lipid-Report 2002 Bd. 3./4.., S 55–56
Zurück zum Zitat Bieber C, Loh A, Ringel N, Eich W, Härter M (Hrsg) (2007) Patientenbeteiligung bei medizinischen Entscheidungen – Manual zur Partizipativen Entscheidungsfindung (Shared Decision-making) Bieber C, Loh A, Ringel N, Eich W, Härter M (Hrsg) (2007) Patientenbeteiligung bei medizinischen Entscheidungen – Manual zur Partizipativen Entscheidungsfindung (Shared Decision-making)
Zurück zum Zitat Bieber C, Muller KG, Blumenstiel K, Schneider A, Richter A, Wilke S, Hartmann M, Eich W (2006) Long-term effects of a shared decision-making intervention on physician-patient interaction and outcome in fibromyalgia. A qualitative and quantitative 1 year follow-up of a randomized controlled trial. Patient Educ Couns 63(3):357–366PubMedCrossRef Bieber C, Muller KG, Blumenstiel K, Schneider A, Richter A, Wilke S, Hartmann M, Eich W (2006) Long-term effects of a shared decision-making intervention on physician-patient interaction and outcome in fibromyalgia. A qualitative and quantitative 1 year follow-up of a randomized controlled trial. Patient Educ Couns 63(3):357–366PubMedCrossRef
Zurück zum Zitat Bieber C, Müller KG, Blumenstiel K, Hochlehnert A, Wilke S, Hartmann M, Eich W (2008) A shared decision-making communication training program for physicians treating fibromyalgia patients: Effects of a randomized controlled trial. Journal of Psychosomatic Research 64:13–20PubMedCrossRef Bieber C, Müller KG, Blumenstiel K, Hochlehnert A, Wilke S, Hartmann M, Eich W (2008) A shared decision-making communication training program for physicians treating fibromyalgia patients: Effects of a randomized controlled trial. Journal of Psychosomatic Research 64:13–20PubMedCrossRef
Zurück zum Zitat Bieber C, Nicolai J, Hartmann M, Blumenstiel K, Ringel N, Schneider A, Härter M, Eich, Loh A (2009) Training physicians in shared decision-making-who can be reached and what is achieved? Patient Educ Couns 77(1):48–54PubMedCrossRef Bieber C, Nicolai J, Hartmann M, Blumenstiel K, Ringel N, Schneider A, Härter M, Eich, Loh A (2009) Training physicians in shared decision-making-who can be reached and what is achieved? Patient Educ Couns 77(1):48–54PubMedCrossRef
Zurück zum Zitat Breslin M, Mullan RJ, Montori VM (2008) The design of a decision aid about diabetes medications for use during the consultation with type 2 diabetes. Patient Education and Counseling 73:465–472PubMedCrossRef Breslin M, Mullan RJ, Montori VM (2008) The design of a decision aid about diabetes medications for use during the consultation with type 2 diabetes. Patient Education and Counseling 73:465–472PubMedCrossRef
Zurück zum Zitat Brown R, Butow PN, Boyer M, Tattersall MH (1999) Promoting patient participation in the cancer consultation: evaluation of a prompt sheet and coaching in question-asking. British Journal of Cancer 80(1–2):242–248PubMedCrossRef Brown R, Butow PN, Boyer M, Tattersall MH (1999) Promoting patient participation in the cancer consultation: evaluation of a prompt sheet and coaching in question-asking. British Journal of Cancer 80(1–2):242–248PubMedCrossRef
Zurück zum Zitat Charles C, Gafni A, Whelan T (1999) Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model. Social Science & Medicine 49(5):651–661CrossRef Charles C, Gafni A, Whelan T (1999) Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model. Social Science & Medicine 49(5):651–661CrossRef
Zurück zum Zitat Chewning B, Bylund CL, Shah B, Arora NK, Gueguen JA, Makoul G (2012) Patient preferences for shared decisions: a systematic review. Patient Education and Counseling 86:9–18PubMedCrossRef Chewning B, Bylund CL, Shah B, Arora NK, Gueguen JA, Makoul G (2012) Patient preferences for shared decisions: a systematic review. Patient Education and Counseling 86:9–18PubMedCrossRef
Zurück zum Zitat Corser W, Holmes-Rovner M, Lein C, Gossain V (2007) A Shared Decision-Making Primary Care Intervention for Type 2 Diabetes. The Diabetes Educator 33:700–708PubMedCrossRef Corser W, Holmes-Rovner M, Lein C, Gossain V (2007) A Shared Decision-Making Primary Care Intervention for Type 2 Diabetes. The Diabetes Educator 33:700–708PubMedCrossRef
Zurück zum Zitat Coulter A (1999) Paternalism or partnership? Patients have grown up-and there’s no going back. BMJ 319(7212):719–720PubMedCrossRef Coulter A (1999) Paternalism or partnership? Patients have grown up-and there’s no going back. BMJ 319(7212):719–720PubMedCrossRef
Zurück zum Zitat Coulter A, Ellins J (2007) Effectiveness of strategies for informing, educating, and involving patients. BMJ 335:24–27PubMedCrossRef Coulter A, Ellins J (2007) Effectiveness of strategies for informing, educating, and involving patients. BMJ 335:24–27PubMedCrossRef
Zurück zum Zitat Coulter A, Magee H (Hrsg) (2003) The European Patient of the Future. Open University Press, Maidenhead Coulter A, Magee H (Hrsg) (2003) The European Patient of the Future. Open University Press, Maidenhead
Zurück zum Zitat Deinzer A, Babel H, Veelken R, Kohnen R, Schmieder RE (2006) „Shared Decision-Making“ mit Bluthochdruckpatienten: Ergebnisse einer Implementierung in Deutschland. Deutsche Medizinische Wochenschrift 131:2592–2596PubMedCrossRef Deinzer A, Babel H, Veelken R, Kohnen R, Schmieder RE (2006) „Shared Decision-Making“ mit Bluthochdruckpatienten: Ergebnisse einer Implementierung in Deutschland. Deutsche Medizinische Wochenschrift 131:2592–2596PubMedCrossRef
Zurück zum Zitat Durand MA, Stiel M, Boivin J, Elwyn G (2008) Where is the theory? Evaluating the theoretical frameworks described in decision support technologies. Patient Education and Counseling 71(1):125–135PubMedCrossRef Durand MA, Stiel M, Boivin J, Elwyn G (2008) Where is the theory? Evaluating the theoretical frameworks described in decision support technologies. Patient Education and Counseling 71(1):125–135PubMedCrossRef
Zurück zum Zitat Edwards A, Elwyn G, Hood K, Atwell C, Robling M, Houston H et al (2004) Study Steering Group. Patient-based outcome results from a cluster randomized trial of shared decision making skill development and use of risk communication aids in general practice. Family practice 2004 21(4):347–354CrossRef Edwards A, Elwyn G, Hood K, Atwell C, Robling M, Houston H et al (2004) Study Steering Group. Patient-based outcome results from a cluster randomized trial of shared decision making skill development and use of risk communication aids in general practice. Family practice 2004 21(4):347–354CrossRef
Zurück zum Zitat Edwards M, Davies M, Edwards A (2009) What are the external influences on information exchange and shared decision-making in healthcare consultations: A meta-synthesis of the literature. Patient Education and Counseling 75(1):37–52PubMedCrossRef Edwards M, Davies M, Edwards A (2009) What are the external influences on information exchange and shared decision-making in healthcare consultations: A meta-synthesis of the literature. Patient Education and Counseling 75(1):37–52PubMedCrossRef
Zurück zum Zitat Elwyn G, Edwards A, Hood K, Robling M, Atwell C, Russell I, Wensing M, Grol R (2004) Achieving involvement: process outcomes from a cluster randomized trial of shared decision making skill development and use of risk communication aids in general practice. Family Practice 21(4):337–346PubMedCrossRef Elwyn G, Edwards A, Hood K, Robling M, Atwell C, Russell I, Wensing M, Grol R (2004) Achieving involvement: process outcomes from a cluster randomized trial of shared decision making skill development and use of risk communication aids in general practice. Family Practice 21(4):337–346PubMedCrossRef
Zurück zum Zitat Elwyn G, Frosch D, Rollnick S (2009) Dual equipoise shared decision-making: definitions for decision and behaviour support interventions. Implementation Science 4:75PubMedCrossRef Elwyn G, Frosch D, Rollnick S (2009) Dual equipoise shared decision-making: definitions for decision and behaviour support interventions. Implementation Science 4:75PubMedCrossRef
Zurück zum Zitat Elwyn G, Frosch D, Volandes AE, Edwards A, Montori VM (2010) Investing in Deliberation: A Definition and Classification of Decision Support Interventions for People Facing Difficult Health Decisions. Medical Decision Making 30(6):701–711PubMedCrossRef Elwyn G, Frosch D, Volandes AE, Edwards A, Montori VM (2010) Investing in Deliberation: A Definition and Classification of Decision Support Interventions for People Facing Difficult Health Decisions. Medical Decision Making 30(6):701–711PubMedCrossRef
Zurück zum Zitat Elwyn G, O’Connor A, Stacey D, Volk R, Edwards A, Coulter A, Collaboration IPDAS (2006) Developing a quality criteria framework for patient decision aids: Online international Delphi consensus process. BMJ (Clinical Research Ed) 333(7565):417–419CrossRef Elwyn G, O’Connor A, Stacey D, Volk R, Edwards A, Coulter A, Collaboration IPDAS (2006) Developing a quality criteria framework for patient decision aids: Online international Delphi consensus process. BMJ (Clinical Research Ed) 333(7565):417–419CrossRef
Zurück zum Zitat Entwistle V, Prior M, Skea Z, Francis JJ (2008) Involvement in treatment decision-making: Its meaning to people with diabetes and implications for conseptualisation. Social Science 66:362–375 Entwistle V, Prior M, Skea Z, Francis JJ (2008) Involvement in treatment decision-making: Its meaning to people with diabetes and implications for conseptualisation. Social Science 66:362–375
Zurück zum Zitat Forster R, Kranich C (2007) Patienten- und Bürgerbeteiligung im Gesundheitssystem – jüngste politische Initiativen in England und Deutschland im Vergleich. Gesundheitswesen 69(2):98–104PubMedCrossRef Forster R, Kranich C (2007) Patienten- und Bürgerbeteiligung im Gesundheitssystem – jüngste politische Initiativen in England und Deutschland im Vergleich. Gesundheitswesen 69(2):98–104PubMedCrossRef
Zurück zum Zitat Fox S, Purcell K (2010) Chronic Disease and the Internet. Pew Internet and American Life Project. See: http://www.pewinternet.org/Reports/2010/Chronic-Disease.aspx Fox S, Purcell K (2010) Chronic Disease and the Internet. Pew Internet and American Life Project. See: http://​www.​pewinternet.​org/​Reports/​2010/​Chronic-Disease.​aspx
Zurück zum Zitat Gensichen J, Muth C, Butzlaff M, Rosemann T, Raspe H, de Cornejo GM, Beyer M, Härter M, Muller UA, Angermann CE, Gerlach FM, Wagner E (2006) Die Zukunft ist chronisch: das Chronic Care-Modell in der deutschen Primärversorgung: Übergreifende Behandlungsprinzipien einer proaktiven Versorgung fur chronische Kranke. Zeitschrift für ärztliche Fortbildung und Qualität im Gesundheitswesen 100:365–374PubMed Gensichen J, Muth C, Butzlaff M, Rosemann T, Raspe H, de Cornejo GM, Beyer M, Härter M, Muller UA, Angermann CE, Gerlach FM, Wagner E (2006) Die Zukunft ist chronisch: das Chronic Care-Modell in der deutschen Primärversorgung: Übergreifende Behandlungsprinzipien einer proaktiven Versorgung fur chronische Kranke. Zeitschrift für ärztliche Fortbildung und Qualität im Gesundheitswesen 100:365–374PubMed
Zurück zum Zitat Gigerenzer G, Wegwarth O (2008) Risikoabschätzung in der Medizin am Beispiel der Krebsfrüherkennung. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen 102(9):513–519 (discussion 606–518)PubMedCrossRef Gigerenzer G, Wegwarth O (2008) Risikoabschätzung in der Medizin am Beispiel der Krebsfrüherkennung. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen 102(9):513–519 (discussion 606–518)PubMedCrossRef
Zurück zum Zitat Hamann J, Neuner B, Kasper J, Vodermaier A, Loh A, Deinzer A, Heesen C, Kissling W, Busch R, Schmieder R, Spies C, Caspari C, Härter M (2007) Participation preferences of patients with acute and chronic conditions. Health Expectations 10:358–363PubMedCrossRef Hamann J, Neuner B, Kasper J, Vodermaier A, Loh A, Deinzer A, Heesen C, Kissling W, Busch R, Schmieder R, Spies C, Caspari C, Härter M (2007) Participation preferences of patients with acute and chronic conditions. Health Expectations 10:358–363PubMedCrossRef
Zurück zum Zitat Härter M (2004) Editorial – Partizipative Entscheidungsfindung (Shared Decision Making) – ein von Patienten, Ärzten und der Gesundheitspolitik geforderter Ansatz setzt sich durch. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen 98(2):89–92 Härter M (2004) Editorial – Partizipative Entscheidungsfindung (Shared Decision Making) – ein von Patienten, Ärzten und der Gesundheitspolitik geforderter Ansatz setzt sich durch. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen 98(2):89–92
Zurück zum Zitat Härter M, Loh A, Spies C (Hrsg) (2005) Gemeinsam entscheiden – erfolgreich behandeln. Deutscher Ärzte-Verlag, Köln Härter M, Loh A, Spies C (Hrsg) (2005) Gemeinsam entscheiden – erfolgreich behandeln. Deutscher Ärzte-Verlag, Köln
Zurück zum Zitat Härter M, Müller H, Dirmaier J, Donner-Banzhoff N, Bieber C, Eich W (2011) Patient participation and shared decision making in Germany – history, agents and current transfer into practice. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen 105:263–270PubMedCrossRef Härter M, Müller H, Dirmaier J, Donner-Banzhoff N, Bieber C, Eich W (2011) Patient participation and shared decision making in Germany – history, agents and current transfer into practice. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen 105:263–270PubMedCrossRef
Zurück zum Zitat Heisler M, Tierney E, Ackermann RT et al (2009) Physicians’ participatory decision-making and quality of diabetes care processes and outcomes: results from the triad study. Chronic illness 5(3):165–76PubMedCrossRef Heisler M, Tierney E, Ackermann RT et al (2009) Physicians’ participatory decision-making and quality of diabetes care processes and outcomes: results from the triad study. Chronic illness 5(3):165–76PubMedCrossRef
Zurück zum Zitat Hibbard JH, Mahoney ER, Stock R, Tusler M (2007) Do increases in patient activation result in improved self-management behaviors? Health Services Research 42(4):1443–1463PubMedCrossRef Hibbard JH, Mahoney ER, Stock R, Tusler M (2007) Do increases in patient activation result in improved self-management behaviors? Health Services Research 42(4):1443–1463PubMedCrossRef
Zurück zum Zitat Jones LA, Weymiller AJ, Shah N, Bryant SC, Christianson TJH, Guyatt GH, Gafni A, Smith SA, Montori VM (2009) Should Clinicians Deliver Decision Aids? Further Exploration of the Statin Choice Randomized Trial Results. Medical Decision Making 29:468–474PubMedCrossRef Jones LA, Weymiller AJ, Shah N, Bryant SC, Christianson TJH, Guyatt GH, Gafni A, Smith SA, Montori VM (2009) Should Clinicians Deliver Decision Aids? Further Exploration of the Statin Choice Randomized Trial Results. Medical Decision Making 29:468–474PubMedCrossRef
Zurück zum Zitat Joosten EAG, De Fuentes-Merilas L, de Weert GH, Sensky T, van der Staak CPF, de Jong CAJ (2008) Systematic Review of the Effects of Shared Decision-Making on Patient Satisfaction, Traetment Adherence and Health STatsu. Psychotherapy and Psychosomatics 77:219–116PubMedCrossRef Joosten EAG, De Fuentes-Merilas L, de Weert GH, Sensky T, van der Staak CPF, de Jong CAJ (2008) Systematic Review of the Effects of Shared Decision-Making on Patient Satisfaction, Traetment Adherence and Health STatsu. Psychotherapy and Psychosomatics 77:219–116PubMedCrossRef
Zurück zum Zitat Keller H, Krones T, Sönnichsen AC, Sadowski E, Popert U, Rochon J, Kaufmann-Kolle P, Szecsenyi J, Baum E, Donner-Banzhoff N (2007) Medikamentöse Prävention von kardiovaskulären Erkrankungen: Verschreiben Hausärzte risikoangemessen? Zeitschrift für Allgemeinmedizin Z Allg Med 2007 83:359–364CrossRef Keller H, Krones T, Sönnichsen AC, Sadowski E, Popert U, Rochon J, Kaufmann-Kolle P, Szecsenyi J, Baum E, Donner-Banzhoff N (2007) Medikamentöse Prävention von kardiovaskulären Erkrankungen: Verschreiben Hausärzte risikoangemessen? Zeitschrift für Allgemeinmedizin Z Allg Med 2007 83:359–364CrossRef
Zurück zum Zitat Kinnersley P, Edwards A, Hood K, Ryan R, Prout H, Cadbury N, MacBeth F, Butow P, Butler C (2008) Interventions before consultations to help patients address their information needs by encouraging question asking: systematic review BMJ 337:a485 Kinnersley P, Edwards A, Hood K, Ryan R, Prout H, Cadbury N, MacBeth F, Butow P, Butler C (2008) Interventions before consultations to help patients address their information needs by encouraging question asking: systematic review BMJ 337:a485
Zurück zum Zitat Kopke S, Richter T, Kasper J, Muhlhauser I, Flachenecker P, Heesen C (2011) Implementation of a patient education program on multiple sclerosis relapse management. Patient Education and Counseling Kopke S, Richter T, Kasper J, Muhlhauser I, Flachenecker P, Heesen C (2011) Implementation of a patient education program on multiple sclerosis relapse management. Patient Education and Counseling
Zurück zum Zitat Krones T, Keller H, Sönnichsen AC, Sadowski EM, Baum E, Donner-Banzhoff N (2006) Partizipative Entscheidungsfindung in der kardiovaskulären Risikoprävention: Ergebnisse der Pilotstudie von ARRIBA-Herz, einer konsultationsbezogenen Entscheidungshilfe für die allgemeinmedizinische Praxis. Zeitschrift für Medizinische Psychologie 2006 15:61–70 Krones T, Keller H, Sönnichsen AC, Sadowski EM, Baum E, Donner-Banzhoff N (2006) Partizipative Entscheidungsfindung in der kardiovaskulären Risikoprävention: Ergebnisse der Pilotstudie von ARRIBA-Herz, einer konsultationsbezogenen Entscheidungshilfe für die allgemeinmedizinische Praxis. Zeitschrift für Medizinische Psychologie 2006 15:61–70
Zurück zum Zitat Krones T, Keller H, Sönnichsen A, Sadowski EM, Baum E, Wegscheider K, Rochon J, Donner-Banzhoff N (2008) Absolute cardiovascular disease risk and shared decision making in primary care: a randomized controlled trial. The Annals of Family Medicine 2008 6:218–27CrossRef Krones T, Keller H, Sönnichsen A, Sadowski EM, Baum E, Wegscheider K, Rochon J, Donner-Banzhoff N (2008) Absolute cardiovascular disease risk and shared decision making in primary care: a randomized controlled trial. The Annals of Family Medicine 2008 6:218–27CrossRef
Zurück zum Zitat Krones T, Richter G (2008) Ärztliche Verantwortung: Das Arzt-Patient-Verhältnis. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 51(8):818–826PubMedCrossRef Krones T, Richter G (2008) Ärztliche Verantwortung: Das Arzt-Patient-Verhältnis. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 51(8):818–826PubMedCrossRef
Zurück zum Zitat Légaré F, Ratté S, Gravel K, Graham ID (2008) Barriers and facilitators to implementing shared decision-making in clinical practice: update of a systematic review of health professionals’ perceptions. Patient Education and Counseling 73(3):526–535PubMedCrossRef Légaré F, Ratté S, Gravel K, Graham ID (2008) Barriers and facilitators to implementing shared decision-making in clinical practice: update of a systematic review of health professionals’ perceptions. Patient Education and Counseling 73(3):526–535PubMedCrossRef
Zurück zum Zitat Légaré F, Ratté S, Stacey D, Kryworuchko J, Gravel K, Graham ID, Turcotte S (2010) Interventions for improving the adoption of shared decision making by healthcare professionals. Cochrane database of systematic reviews 5, Art. No.: CD006732. DOI: 006710.001002/14651858.CD14006732.pub14651852 Légaré F, Ratté S, Stacey D, Kryworuchko J, Gravel K, Graham ID, Turcotte S (2010) Interventions for improving the adoption of shared decision making by healthcare professionals. Cochrane database of systematic reviews 5, Art. No.: CD006732. DOI: 006710.001002/14651858.CD14006732.pub14651852
Zurück zum Zitat Lenz M, Mühlhauser I (2009) Decision aids in diabetes. In: Edwards A, Elwyn G (Hrsg) Shared Decision-Making in Health Care, 2. Aufl. Oxford University Press, Oxford Lenz M, Mühlhauser I (2009) Decision aids in diabetes. In: Edwards A, Elwyn G (Hrsg) Shared Decision-Making in Health Care, 2. Aufl. Oxford University Press, Oxford
Zurück zum Zitat Lenz M, Kasper J, Mühlhauser I (2009) Development of a patient decision aid for prevention of myocardial infarction in type 2 diabetes - rationale, design and pilot testing. GMS Psycho-Social-Medicine Vol. 6, ISSN 1860–5214 Lenz M, Kasper J, Mühlhauser I (2009) Development of a patient decision aid for prevention of myocardial infarction in type 2 diabetes - rationale, design and pilot testing. GMS Psycho-Social-Medicine Vol. 6, ISSN 1860–5214
Zurück zum Zitat Levinson W, Kao A, Kuby A, Thisted RA (2005) Not all patients want to participate in decision making. A national study of public preferences. Journal of General Internal Medicine 20(6):531–535PubMedCrossRef Levinson W, Kao A, Kuby A, Thisted RA (2005) Not all patients want to participate in decision making. A national study of public preferences. Journal of General Internal Medicine 20(6):531–535PubMedCrossRef
Zurück zum Zitat Loh A, Meier K, Simon D, Hanselmann S, Jahn H, Niebling M, Härter W (2004) Entwicklung und Evaluation eines Fortbildungsprogramms zur Partizipativen Entscheidungsfindung für die hausärztliche Versorgung depressiver Patienten. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 47(10):977–984PubMedCrossRef Loh A, Meier K, Simon D, Hanselmann S, Jahn H, Niebling M, Härter W (2004) Entwicklung und Evaluation eines Fortbildungsprogramms zur Partizipativen Entscheidungsfindung für die hausärztliche Versorgung depressiver Patienten. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 47(10):977–984PubMedCrossRef
Zurück zum Zitat Loh A, Härter M (2005) Modellentwicklungen zur Partizipativen Entscheidungsfindung. In: Härter M, Loh A, Spies C (Hrsg) Gemeinsam entscheiden – erfolgreich behandeln. Deutscher Ärzte-Verlag, Köln, S 13–24 Loh A, Härter M (2005) Modellentwicklungen zur Partizipativen Entscheidungsfindung. In: Härter M, Loh A, Spies C (Hrsg) Gemeinsam entscheiden – erfolgreich behandeln. Deutscher Ärzte-Verlag, Köln, S 13–24
Zurück zum Zitat Loh A, Simon D, Wills CE, Kriston L, Niebling W, Härter M (2007) The effects of a shared decision-making intervention in primary care of depression: A cluster-randomized controled trial. Patient Education and Counseling 67:324–332PubMedCrossRef Loh A, Simon D, Wills CE, Kriston L, Niebling W, Härter M (2007) The effects of a shared decision-making intervention in primary care of depression: A cluster-randomized controled trial. Patient Education and Counseling 67:324–332PubMedCrossRef
Zurück zum Zitat Mann DM, Ponieman D, Montori VM, Arciniega J, McGinn T (2010) The Statin Choice decision aid in primary care: A randomized trial. Patient Education and Counseling 80:138–140PubMedCrossRef Mann DM, Ponieman D, Montori VM, Arciniega J, McGinn T (2010) The Statin Choice decision aid in primary care: A randomized trial. Patient Education and Counseling 80:138–140PubMedCrossRef
Zurück zum Zitat McCaffery KJ, Smith SK, Wolf M (2010) The challenge of shared decision making among patients with lower literacy: a framework for research and development. Medical Decision Making 30(1):35–44PubMedCrossRef McCaffery KJ, Smith SK, Wolf M (2010) The challenge of shared decision making among patients with lower literacy: a framework for research and development. Medical Decision Making 30(1):35–44PubMedCrossRef
Zurück zum Zitat Montori VM, Gafni A, Charles C (2006) A shared decicion-making approach between patients with chronic conditions and their clinicians: the case of diabetes. Health Expectations 9:25–36PubMedCrossRef Montori VM, Gafni A, Charles C (2006) A shared decicion-making approach between patients with chronic conditions and their clinicians: the case of diabetes. Health Expectations 9:25–36PubMedCrossRef
Zurück zum Zitat Montori VM, Breslin M, Maleska M, Weymiller AJ (2007) Creating a Conversation: Insights from the Development of a Decision Aid. PloS Medicine 4(8):e233PubMedCrossRef Montori VM, Breslin M, Maleska M, Weymiller AJ (2007) Creating a Conversation: Insights from the Development of a Decision Aid. PloS Medicine 4(8):e233PubMedCrossRef
Zurück zum Zitat Müller-Engelmann M, Keller H, Donner-Banzhoff N, Krones T (2010) Shared decision making in medicine: the influence of situational treatment factors. Patient Education and Counseling 82(2):240–246PubMedCrossRef Müller-Engelmann M, Keller H, Donner-Banzhoff N, Krones T (2010) Shared decision making in medicine: the influence of situational treatment factors. Patient Education and Counseling 82(2):240–246PubMedCrossRef
Zurück zum Zitat Mullan RJ, Montori VM, Shah ND, Christianson TJH, Bryant SC, Guyatt GH, Perestelo-Perez LI, Stroebel RJ, Yawn BP, Yapuncich V, Breslin MA, Pencille L, Smith SA (2009) The Diabetes Mellitus Medication Choice Decision Aid: A Randomized Controlled Trial. Health Care Reform 169(17):1560–1568 Mullan RJ, Montori VM, Shah ND, Christianson TJH, Bryant SC, Guyatt GH, Perestelo-Perez LI, Stroebel RJ, Yawn BP, Yapuncich V, Breslin MA, Pencille L, Smith SA (2009) The Diabetes Mellitus Medication Choice Decision Aid: A Randomized Controlled Trial. Health Care Reform 169(17):1560–1568
Zurück zum Zitat Nannenga MR, Montori VM, Weymiller AJ, Smith SA, Christianson TJH, Bryant SC, Gafni A, Charles C, Mullan RJ, Jones LA, Bolona ER, Guyatt GH (2009) A treatment decision aid may increase patient trust in the diabetes specialist. The Statin Choice randomized trial. Health Expectations 12:38–44PubMedCrossRef Nannenga MR, Montori VM, Weymiller AJ, Smith SA, Christianson TJH, Bryant SC, Gafni A, Charles C, Mullan RJ, Jones LA, Bolona ER, Guyatt GH (2009) A treatment decision aid may increase patient trust in the diabetes specialist. The Statin Choice randomized trial. Health Expectations 12:38–44PubMedCrossRef
Zurück zum Zitat O’Connor AM, Stacey D, Entwistle V, Llewellyn-Thomas H, Rovner D, Holmes-Rovner M, Tait V, Tetroe J, Fiset V, Barry M, Jones J (2004) Decision aids for people facing health treatment or screening decisions (Cochrane Review) Bd. 1. John Wiley & Sons, Ltd, Chichester, UK O’Connor AM, Stacey D, Entwistle V, Llewellyn-Thomas H, Rovner D, Holmes-Rovner M, Tait V, Tetroe J, Fiset V, Barry M, Jones J (2004) Decision aids for people facing health treatment or screening decisions (Cochrane Review) Bd. 1. John Wiley & Sons, Ltd, Chichester, UK
Zurück zum Zitat Paasche-Orlow MK, Parker RM, Gazmararian JA, Nielsen-Bohlman LT, Rudd RR (2005) The prevalence of limited health literacy. Journal of General Internal Medicine 20(2):175–184PubMedCrossRef Paasche-Orlow MK, Parker RM, Gazmararian JA, Nielsen-Bohlman LT, Rudd RR (2005) The prevalence of limited health literacy. Journal of General Internal Medicine 20(2):175–184PubMedCrossRef
Zurück zum Zitat Paterson B (2001) Myth of empowerment in chronic illness. Journal of Advanced Nursing 34(5):574–581PubMedCrossRef Paterson B (2001) Myth of empowerment in chronic illness. Journal of Advanced Nursing 34(5):574–581PubMedCrossRef
Zurück zum Zitat Peek ME, Wilson SC, Gorawara-Bhat R, Odoms-Young A, Quinn MT, Chin MH (2009) Barriers and Facilitators to Shared Decision-making Among African-Americans with Diabetes. Journal of General Internal Medicine 24(10):1135–1139PubMedCrossRef Peek ME, Wilson SC, Gorawara-Bhat R, Odoms-Young A, Quinn MT, Chin MH (2009) Barriers and Facilitators to Shared Decision-making Among African-Americans with Diabetes. Journal of General Internal Medicine 24(10):1135–1139PubMedCrossRef
Zurück zum Zitat Sachverständigenrat für die Konzertierte Aktion im Gesundheitswesen (Hrsg) (2003) Finanzierung und Nutzerorientierung. Gutachten 2003. Nomos Verlagsgesellschaft, Baden Baden Sachverständigenrat für die Konzertierte Aktion im Gesundheitswesen (Hrsg) (2003) Finanzierung und Nutzerorientierung. Gutachten 2003. Nomos Verlagsgesellschaft, Baden Baden
Zurück zum Zitat Sadowski EM, Eimer C, Keller H, Krones T, Sönnichsen AC, Baum E, Donner-Banzhoff N (2005) Evaluation komplexer Interventionen: Implementierung von ARRIBA-Herz, einer Beratungsstrategie für die Herz-Kreislaufprävention. Zeitschrift für Allgemeinmedizin 2005 81:429–434CrossRef Sadowski EM, Eimer C, Keller H, Krones T, Sönnichsen AC, Baum E, Donner-Banzhoff N (2005) Evaluation komplexer Interventionen: Implementierung von ARRIBA-Herz, einer Beratungsstrategie für die Herz-Kreislaufprävention. Zeitschrift für Allgemeinmedizin 2005 81:429–434CrossRef
Zurück zum Zitat Say R, Murtagh M, Thomson R (2006) Patients’ preference for involvement in medical decision making: a narrative review. Patient Education and Counseling 60(2):102–114PubMedCrossRef Say R, Murtagh M, Thomson R (2006) Patients’ preference for involvement in medical decision making: a narrative review. Patient Education and Counseling 60(2):102–114PubMedCrossRef
Zurück zum Zitat Simon D, Schorr G, Wirtz M, Vodermaier A, Caspari C, Neuner B, Spies C, Krones T, Keller H, Edwards A, Loh A, Härter M (2006) Development and first validation of the Shared decision-making Questionnaire (SDM-Q). Patient Education and Counseling 2006 63:319–327CrossRef Simon D, Schorr G, Wirtz M, Vodermaier A, Caspari C, Neuner B, Spies C, Krones T, Keller H, Edwards A, Loh A, Härter M (2006) Development and first validation of the Shared decision-making Questionnaire (SDM-Q). Patient Education and Counseling 2006 63:319–327CrossRef
Zurück zum Zitat Stacey D, Murray MA, Légaré F, Dunn S, Menard P, O’Connor A (2008) Decision coaching to support shared decision making: a – framework, evidence, and implications for nursing practice, education, and policy. Worldviews on Evidence-Based Nursing 2008 5(1):25–35CrossRef Stacey D, Murray MA, Légaré F, Dunn S, Menard P, O’Connor A (2008) Decision coaching to support shared decision making: a – framework, evidence, and implications for nursing practice, education, and policy. Worldviews on Evidence-Based Nursing 2008 5(1):25–35CrossRef
Zurück zum Zitat Stacey D, Légaré F, Pouliot S, Kryworuchko J, Dunn S (2010) Shared decision making models to inform an interprofessional perspective on decision making: a theory analysis. Patient Education and Counseling 80(2):164–172PubMedCrossRef Stacey D, Légaré F, Pouliot S, Kryworuchko J, Dunn S (2010) Shared decision making models to inform an interprofessional perspective on decision making: a theory analysis. Patient Education and Counseling 80(2):164–172PubMedCrossRef
Zurück zum Zitat Stacey D, Bennett CL, Barry MJ, Col NF, Eden KB, Holmes-Rovner M, Llewellyn-Thomas H, Lyddiatt A, Légaré F, Thomson R (2011) Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews 2011, Issue 10. Art. No.: CD001431. DOI: 10.1002/14651858.CD001431.pub3 Stacey D, Bennett CL, Barry MJ, Col NF, Eden KB, Holmes-Rovner M, Llewellyn-Thomas H, Lyddiatt A, Légaré F, Thomson R (2011) Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews 2011, Issue 10. Art. No.: CD001431. DOI: 10.1002/14651858.CD001431.pub3
Zurück zum Zitat Stacey D, Kryworuchko J, Bennett C, Murray MA, Mullan S, Légaré F (2012) Decision Coaching to Prepare Patients for Making Health Decisions: A Systematic Review of Decision Coaching in Trials of Patient Decision Aids, Medical Decision Making, http://mdm.sagepub.com/content/early/2012/04/13/0272989X12443311 Stacey D, Kryworuchko J, Bennett C, Murray MA, Mullan S, Légaré F (2012) Decision Coaching to Prepare Patients for Making Health Decisions: A Systematic Review of Decision Coaching in Trials of Patient Decision Aids, Medical Decision Making, http://​mdm.​sagepub.​com/​content/​early/​2012/​04/​13/​0272989X12443311​
Zurück zum Zitat Towle A, Godolphin W (1999) Framework for teaching and learning informed shared decision making. BMJ 319(7212):766–771PubMedCrossRef Towle A, Godolphin W (1999) Framework for teaching and learning informed shared decision making. BMJ 319(7212):766–771PubMedCrossRef
Zurück zum Zitat Weymiller AJ, Montori VM, Jones LA, Gafni A, Guyatt GH, Bryant SC, Christianson TJH, Mullan RJ, Smith SA (2007) Helping Patients With Type 2 Diabetes Mellitus Make Treatment Decisions: Statin Choice Randomized Trial. Archives of Internal Medicine 167:1076–1082PubMedCrossRef Weymiller AJ, Montori VM, Jones LA, Gafni A, Guyatt GH, Bryant SC, Christianson TJH, Mullan RJ, Smith SA (2007) Helping Patients With Type 2 Diabetes Mellitus Make Treatment Decisions: Statin Choice Randomized Trial. Archives of Internal Medicine 167:1076–1082PubMedCrossRef
Zurück zum Zitat Whitney SN, McGuire AL, McCullough LB (2004) A typology of shared decision making, informed consent, and simple consent. Annals of Internal Medicine 140(1):54–59PubMedCrossRef Whitney SN, McGuire AL, McCullough LB (2004) A typology of shared decision making, informed consent, and simple consent. Annals of Internal Medicine 140(1):54–59PubMedCrossRef
Zurück zum Zitat WHO (1998) Health Promotion Glossary. WHO, Genf WHO (1998) Health Promotion Glossary. WHO, Genf
Zurück zum Zitat Wilson SR, Strub P, Buist AS, Knowles SB, Lavori PW, Lapidis J, Vollmer WM, BOAT, the Better Outcomes of Asthma Treatment Study Group (2010) Shared Treatment Decision Making Improves Adherence and Outcomes in Poorly Controlled Asthma. American Journal of Respiratory and Critical Care Medicine 181:566–577PubMedCrossRef Wilson SR, Strub P, Buist AS, Knowles SB, Lavori PW, Lapidis J, Vollmer WM, BOAT, the Better Outcomes of Asthma Treatment Study Group (2010) Shared Treatment Decision Making Improves Adherence and Outcomes in Poorly Controlled Asthma. American Journal of Respiratory and Critical Care Medicine 181:566–577PubMedCrossRef
Zurück zum Zitat Zoffman V, Kirkevold M (2005) Life versus disease in difficult diabetes care: Conflicting perspectives disempower patients and professionals in problem solving. Qualitative Health Research 15(6):750–765CrossRef Zoffman V, Kirkevold M (2005) Life versus disease in difficult diabetes care: Conflicting perspectives disempower patients and professionals in problem solving. Qualitative Health Research 15(6):750–765CrossRef
Zurück zum Zitat Zoffman V, Lauritzen T (2006) Guided self-determination improves life skills with type 1 diabetes and A1C in randomized controlled trial. Patient Education and Counseling 64(1–3):78–86CrossRef Zoffman V, Lauritzen T (2006) Guided self-determination improves life skills with type 1 diabetes and A1C in randomized controlled trial. Patient Education and Counseling 64(1–3):78–86CrossRef
Zurück zum Zitat Zoffman V, Kirkevold M (2007) Relationships and their potential for change: Developed in difficult Type 1 diabetes. Qualitative Health Research 17(5):625–638CrossRef Zoffman V, Kirkevold M (2007) Relationships and their potential for change: Developed in difficult Type 1 diabetes. Qualitative Health Research 17(5):625–638CrossRef
Zurück zum Zitat Zoffman V, Harder I, Kirkevold M (2008) A Person-Centered Communication and Reflection Model: Sharing Decision-Making in Chronic Care. Qualitative Health Research 18(5):670–685CrossRef Zoffman V, Harder I, Kirkevold M (2008) A Person-Centered Communication and Reflection Model: Sharing Decision-Making in Chronic Care. Qualitative Health Research 18(5):670–685CrossRef
Zurück zum Zitat Zoffman V, Kirkevold M (2012) Realizing Empowerment in Difficult Diabetes Care: A Guided Self-Determination Intervention. Qualitative Health Research 22(1), DOI: 10.1177/1049732311420735 Zoffman V, Kirkevold M (2012) Realizing Empowerment in Difficult Diabetes Care: A Guided Self-Determination Intervention. Qualitative Health Research 22(1), DOI: 10.1177/1049732311420735
Metadaten
Titel
Partizipative Entscheidungsfindung in der Diabetestherapie – Von der guten Absicht zur guten Tat
verfasst von
Jörg Dirmaier, Dr.
Martin Härter, Prof. Dr.
Nina Weymann , Dipl. -Psych.
Copyright-Jahr
2013
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-642-29908-7_22

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.