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The bigger picture of shared decision making: A service design perspective using the care path of locally advanced pancreatic cancer as a case.

Ingeborg P M GriffioenJudith A C RietjensMarijke MellesDirk SneldersMarjolein Y V HomsCasper H J van EijckAnne M Stiggelbout
Published in: Cancer medicine (2021)
The service design perspective uncovered how the stage for SDM is often set outside the consultation, which might explain the limited effect currently seen of interventions focusing on consultation itself. Our findings serve as a starting point for (re)designing care paths to improve the implementation of SDM in oncology.
Keyphrases
  • palliative care
  • healthcare
  • quality improvement
  • locally advanced
  • mental health
  • primary care
  • squamous cell carcinoma
  • rectal cancer
  • physical activity
  • radiation therapy
  • clinical trial
  • open label
  • phase ii study