Improvement of shared decision making in integrated stroke care: a before and after evaluation using a questionnaire survey.
Helene R Voogdt-PruisT RasL van der DussenS BenjaminsenP H GoossensI RaatsG BossE F M van HoefM LindhoutM R S Tjon-A-TsienH J M VrijhoefPublished in: BMC health services research (2019)
HCPs in our study indicated it is feasible to implement SDM in integrated stroke care and several well-known implementation activities could improve SDM in stroke care. Special attention should be given to the following activities: (1) the appointment of knowledge brokers, (2) agreements between HCPs on roles and responsibilities for specific decision points in the integrated stroke care chain and (3) the timely investigation of patient's preferences in the care process - preferably before starting treatment through discussions in a multidisciplinary meeting.