Moving SDM forward in Canada

Milestones, public involvement, and barriers that remain

France Légaré, Dawn Stacey, Pierre Gerlier Forest, Marie France Coutu

Research output: Contribution to journalArticle

Abstract

Canada's approach to shared decision making (SDM) is as disparate as its healthcare system; a conglomerate of 14 public plans at various administrative levels. SDM initiatives are taking place in different pockets of the country and are in different stages of development. The most advanced provincial initiative is occurring in Saskatchewan, where in 2010 the provincial government prepare to introduce patient decision aids into certain surgical specialties. With regard to decision support tools for patients, perhaps the most active entity is the Patient Decision Aids Research Group in Ottawa, Ontario. This group maintains a public inventory of decision aids ranked according to International Patient Decision Aid Standards and has developed the generic Ottawa Personal Decision Guide, as well as a toolkit for integrating decision aids in clinical practice. All of these tools are publicly available free of charge. Professional interest in SDM in Canada is not yet widespread, but Canada's principal health research funding agency is sponsoring several important SDM projects. Researchers from institutions across the country are promoting SDM through continuing professional development programs and other interventions in fields as varied as primary care, dietary medicine and workplace rehabilitation. Still, the future of SDM in Canada remains uncertain. Canada's provincially based structure obliges promoters to work with each province separately, and the recent growth of private healthcare risks dissipating efforts to implement SDM.

Original languageEnglish (US)
Pages (from-to)245-253
Number of pages9
JournalZeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
Volume105
Issue number4
DOIs
StatePublished - 2011
Externally publishedYes

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decision aid
Canada
Decision Support Techniques
Decision Making
decision making
Surgical Specialties
Saskatchewan
Delivery of Health Care
State Government
sponsoring
Ontario
Research
Workplace
rehabilitation
Primary Health Care
Rehabilitation
workplace
Group
funding
Research Personnel

Keywords

  • Canada
  • implementation science
  • interprofessional
  • knowledge translation
  • shared decision making

ASJC Scopus subject areas

  • Health Policy
  • Education

Cite this

Moving SDM forward in Canada : Milestones, public involvement, and barriers that remain. / Légaré, France; Stacey, Dawn; Forest, Pierre Gerlier; Coutu, Marie France.

In: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen, Vol. 105, No. 4, 2011, p. 245-253.

Research output: Contribution to journalArticle

Légaré, France ; Stacey, Dawn ; Forest, Pierre Gerlier ; Coutu, Marie France. / Moving SDM forward in Canada : Milestones, public involvement, and barriers that remain. In: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen. 2011 ; Vol. 105, No. 4. pp. 245-253.
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