Back Integration of patients’ and health care professionals’ different domains of knowledge for shared decision making in treatment discussion – Finland

 Aim and objectives:

Integrating the knowledge pools of professionals’ medical knowledge and patients’ experiential knowledge when negotiating treatment in health care encounters.

The domains of knowledge or “knowledge pools” into which patients and health care professionals are entitled to have access to are asymmetric: professionals have access to medical information, whereas patients have access to information concerning their own experiences and life world, such as their symptoms, their preferences and values. 


 Target group:

Health care professionals.


 Method:

  • inquiring about the patient’s perspective, such as expectations concerning treatment and its integration in the treatment suggestion;
  • presenting options rather than just one possible alternative;
  • if needed, recommending a specific option by drawing upon the patient’s disclosed perspective and explaining why this option is recommended.

 Outcome:

Patients can match the suggested treatment to their possible expected treatment solutions and to understand the grounds for treatment recommendation.


 Added value:

Expected improvements in patient experience of possibilities to influence their own treatment and better adherence to treatment.

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Essential Elements

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Health literacy good practices
Access to appropriate care
Access to digital spaces
Access to valid health information
Communication between individuals
Health literacy policy, mobilisation and capacity building
Shared decision-making
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