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- W2033895732 abstract "This paper describes the current position of shared decision-making (SDM) within the Australian health care system. Australian health care includes a mixture of public and private practice governed by both regional and national policy. Support for SDM exists through guidelines and support for interventions to increase participation. However, there is no clear overall policy framework for SDM in Australia. The result is recognition that consumer involvement is important yet there are limited resources and infrastructure, and no clear strategy to support implementation. Barriers to SDM at the macro, meso and micro levels of health care are described. Efforts to support consumer involvement to date have been targeted to the supply side of health care. There is now awareness of the need to target the demand side by educating consumers to ask for information and involvement in their health care. Diese Arbeit beschreibt den derzeitigen Stand der Partizipativen Entscheidungsfindung (PEF) im australischen Gesundheitssystem. Das australische Gesundheitssystem besteht aus einer Mischung von öffentlichen und privaten Gesundheitseinrichtungen, die von regionaler und nationaler Politik geführt werden. Unterstützung für PEF existiert durch Leitlinien und durch Interventionen, die Patientenbeteiligung erhöhen. Jedoch gibt es keinen klaren politischen Rahmen für PEF in Australien. Daraus folgt die Erkenntnis, dass die Einbeziehung von Patienten zwar wichtig ist, allerdings sind die Ressourcen und die Infrastruktur begrenzt und es gibt keine klare Strategie die Umsetzung der PEF zu unterstützen. Es werden die Hürden für PEF auf Makro-, Meso- und Mikroebene beschrieben. Die derzeitigen Anstrengungen, die Patientenbeteiligung zu unterstützen, beziehen sich auf die Angebotsseite der Gesundheitsversorgung. Mittlerweile wurde erkannt, dass die Seite der Nachfrage durch Patientenschulungen zur Inanspruchnahme von Information und Einbeziehung in die Gesundheitsversorgung angezielt werden sollte." @default.
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- W2033895732 date "2007-05-01" @default.
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- W2033895732 title "Shared decision-making in Australia" @default.
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- W2033895732 doi "https://doi.org/10.1016/j.zgesun.2007.02.025" @default.
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