Shared decision making in preventive care in Switzerland: From theory to action.

Selby, Kevin; Auer, Reto; Cornuz, Jacques (2017). Shared decision making in preventive care in Switzerland: From theory to action. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen, 123-124, pp. 91-94. Elsevier, Urban & Fischer 10.1016/j.zefq.2017.05.008

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Switzerland with its decentralized, liberal health system and its tradition of direct democracy may be an ideal place for shared decision making (SDM) to take root organically, rather than using top-down regulations seen in other countries. There are now multiple directives and programmes in place to encourage SDM, with the creation of several decision aids and specific training programs in the five Swiss medical schools. There has been an emphasis on preventive care, with the integration of patient preference into an organized colorectal cancer screening program, clear recommendations for prostate cancer screening, and inroads into the primary prevention of cardiovascular disease. Focusing on the experience of the University of Lausanne, we describe multiple approaches being taken to teaching SDM and the local development of decision aids, drawing on international experience but tailored to local needs. Efforts are being made to further involve patients in not only SDM, but also associated research and quality improvement projects.

Item Type:

Journal Article (Further Contribution)


04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM)

UniBE Contributor:

Auer, Reto


600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services




Elsevier, Urban & Fischer




Doris Kopp Heim

Date Deposited:

23 May 2017 09:59

Last Modified:

03 Nov 2019 20:47

Publisher DOI:


PubMed ID:


Uncontrolled Keywords:

Entscheidungshilfen Schweiz Switzerland decision aids partizipative Entscheidungsfindung shared decision making




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