SHARED DECISION MAKING IN HEALTH: REFLECTIONS ON POLITICAL AND REGULATORY INCORPORATION IN BRAZIL.
Objective: to analyze the incorporation of shared decision making in Brazilian public health policies and regulations that guide patients' care, considering their interfaces with patient-centered care and patients' rights. Development: reflection article that seeks to identify, in the two main natio...
| Published in: | Ciencia, Cuidado e Saude Vol. 24; pp. 1 - 9 |
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| Main Authors: | , , |
| Format: | Journal Article |
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Universidade Estadual de Maringa
2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190737437&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190737437 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16773861 505X jtl: Ciencia, Cuidado e Saude issn: 16773861 maglogo: N pubinfo: dt: 2025 vid: 24 pid: 19647 pub: Universidade Estadual de Maringa place: , <Blank> artinfo: ui: 190737437 10.4025/ciencuidsaude.v24i1.72308 190737437 ppf: 1 ppct: 8 formats: fmt: @attributes: type: P tig: atl: SHARED DECISION MAKING IN HEALTH: REFLECTIONS ON POLITICAL AND REGULATORY INCORPORATION IN BRAZIL. aug: au: Tanure, Cintia da Silva Bampi, Luciana Neves Albuquerque, Aline affil: PhD student in the Postgraduate Program in Nursing at the University of Brasília. Apoio Hospital, State Department of Health of Brasília sug: subj: Decision Making, Shared Evaluation Reflection Politics Psychosocial Factors Government Regulations Evaluation Interinstitutional Relations Evaluation Health Policy Evaluation Health Care Delivery Patient Centered Care Evaluation Patient Rights Evaluation Brazil Professional-Patient Relations Health Care Industry Brazil Patient Preference Ethics, Professional Health Services Needs and Demand Practice Guidelines Therapeutic Alliance Health Services Accessibility Models, Biopsychosocial Collaboration Patient Satisfaction Patient Compliance Health Knowledge Quality of Health Care Health and Welfare Planning Outcomes (Health Care) ab: Objective: to analyze the incorporation of shared decision making in Brazilian public health policies and regulations that guide patients' care, considering their interfaces with patient-centered care and patients' rights. Development: reflection article that seeks to identify, in the two main national regulations that comprehensively address patients' care, the Health Users' Charter and the National Humanization Policy (NHP), the inclusion of the SDM (Shared Decision Making) model as an imperative ethical element during clinical care. Interactions between patients and health professionals are considered asymmetrical. To promote more symmetrical clinical encounters and health-related decisions that consider the patients' needs and desires and drive the quality of care, global guidelines recommend the implementation of patient-centered care through shared decision making. Conclusion: The inclusion of the patients as active agents in the therapeutic decision making process in Brazil is not yet a reality. Shared decision making is a gap in national regulations and in the documents defining public health policies that comprehensively guide the clinical encounter. Objetivo: analizar la incorporación de la toma de decisiones compartida en las normativas y políticas públicas de salud brasileñas que fundamentan el cuidado del paciente, considerando sus interfaces con el cuidado centrado en el paciente y los derechos de los pacientes. Desarrollo: artículo de reflexión que busca identificar, en las dos principales normativas nacionales que tratan de manera integral la atención al paciente, la Carta de los Usuarios de la Salud y la Política Nacional de Humanización (PNH), la inclusión del modelo de la TDC como un factor ético imperativo en la atención clínica. Las interacciones entre pacientes y profesionales de la salud son consideradas asimétricas. Para fomentar encuentros clínicos más simétricos y decisiones relacionadas con la salud que tengan en cuenta las necesidades y los deseos del paciente e impulsen la calidad de la atención, las directrices mundiales recomiendan la implementación de la atención centrada en el paciente, a través de la toma de decisiones compartida. Conclusión: la inclusión del paciente como agente activo en el proceso de toma de decisiones terapéuticas en Brasil aún no es una realidad. La toma de decisiones compartida es una laguna en las normativas nacionales y en los documentos definidores de políticas públicas de salud que, de manera integral, guían el encuentro clínico. Objetivo: analisar a incorporação da tomada de decisão compartilhada nas normativas e políticas públicas de saúde brasileiras que balizam o cuidado do paciente, considerando suas interfaces com o cuidado centrado no paciente e os direitos dos pacientes. Desenvolvimento: artigo de reflexão que busca identificar, nas duas principais normativas nacionais que abordam de maneira abrangente o cuidado ao paciente, a Carta dos Usuários da Saúde e a Política Nacional de Humanização (PNH), a inclusão do modelo da TDC como elemento imperativo ético durante o atendimento clínico. As interações entre pacientes e profissionais de saúde são consideradas assimétricas. Para promover encontros clínicos mais simétricos e decisões relacionadas à saúde que considerem as necessidades e os desejos do paciente e impulsionam a qualidade do cuidado, as diretrizes mundiais recomendam a implementação do cuidado centrado no paciente, por meio da tomada de decisão compartilhada. Conclusão: a inclusão do paciente como agente ativo no processo decisório terapêutico no Brasil ainda não é uma realidade. A tomada de decisão compartilhada é uma lacuna nas normativas nacionais e nos documentos definidores de políticas públicas de saúde que, de maneira abrangente, norteiam o encontro clínico. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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