Article

Shared decision making in Brazil: history and current discussion.

Medicine Department, Federal University of São Carlos (UFSCar), Brazil.
Zeitschrift für Evidenz Fortbildung und Qualität im Gesundheitswesen 01/2011; 105(4):240-4. DOI:10.1016/j.zefq.2011.04.009 pp.240-4
Source: PubMed

ABSTRACT There is no SDM in clinical practice in Brazil. The first steps have been taken towards research and tool development recently. Likewise, our society is starting to get involved with decision making in health care. This paper aims to offer an overview of the Brazilian health system history, its values, and its influence on SDM. The participative social control concept is introduced as a result of the movement against the dictatorship era. In addition, the influence of social changes on the Medical Ethical Code is delineated. SDM state of the art in Brazil is also discussed and the challenges to implement it on clinical practice are described. Regardless the challenges, it is possible to make a positive assessment of SDM in Brazil.

0 0
 · 
0 Bookmarks
 · 
26 Views
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.

Keywords

Brazil
 
Brazilian health system history
 
challenges
 
clinical practice
 
dictatorship era
 
first steps
 
health care
 
Medical Ethical Code
 
participative social control concept
 
SDM state
 
tool development