Shared decision making in West Africa: The forgotten area
Shared decision making in West Africa: The forgotten area
复制标题
DOI：
10.1016/j.zefq.2017.05.013
复制
发表时间：
2017-06-01
影响因子：
1.1
通讯作者：
Garyelink, Mirjam Marjolein
中科院分区：
文献类型：
--
作者：
Diouf, Ndeye Thiab;Ben Charif, Ali;Garyelink, Mirjam Marjolein
到目前为止，在共同决策方面，对西非的关注很少。与世界上许多其他国家相比，西非国家在可持续发展机制倡议方面似乎落在后面。人们对知情决策或知情同意有一定的兴趣，但对充分的可持续发展机制进程兴趣不大。很少有决策工具可供医疗保健专业人员使用，大多数决策工具的设计都不是为了支持患者的决策。此外，据我们所知，没有在医疗保健团队中实施SDM的培训计划。在西非实施“可持续发展机制”存在许多障碍，包括缺乏选择、卫生资源很少或很少以及教育水平低。然而，非洲国家也为“可持续发展机制”提供了许多机会。可以探索为其他识字率低的人口开发的现有可持续发展机制创新，并使之适应西非的情况，关于西非执行情况和成果的研究可以为全世界的可持续发展机制做出贡献。西非国家处于一个非常有利的地位，既可以向其他国家学习，也可以为世界其他地区的可持续发展机制的发展作出贡献。在本文中，我们反思SDM的挑战和机遇，并提出了西非的研究议程。我们希望唤醒西非对SDM的兴趣，并鼓励未来与西非各利益相关者，包括患者，医疗保健专业人员，政策制定者，非政府组织（NGO）和学术机构就SDM进行合作。
Up to now, little attention has been paid to West Africa when it comes to shared decision making (SDM). West African countries seem to lag behind with regard to SDM initiatives compared to many other countries in the world. There is some interest in informed decision making or informed consent, but little in a full SDM process. Few decision-making tools are available for healthcare professionals and the majority are not designed to support decision-making with patients. Furthermore, to the best of our knowledge, there are no training programs for implementing SDM in healthcare teams. Many barriers exist to implementing SDM in West Africa, including lack of options, few or poor health resources and low levels of education. However, African countries present many opportunities for SDM as well. Existing SDM innovations developed for other populations with low literacy could be explored and adapted to the West African context, and research on implementation and outcomes in West Africa could contribute to SDM worldwide. West African countries are in an excellent position to both learn from other countries and contribute to SDM development in other parts of the world. In this paper we reflect on SDM challenges and opportunities, and propose a research agenda for West Africa. We hope to awaken interest in SDM in West Africa and encourage future collaborations on SDM with various West African stakeholders, including patients, healthcare professionals, policymakers, non-government organisations (NGOs) and academic institutions.