6 Health System Competencies for Shared Decision-Making

Patient-centered care requires patients, providers and healthcare systems to have certain competencies, according to a Health Affairs commentary.

The authors added system competencies to the Towle A, Godolphin W. Framework for teaching and learning informed shared decision-making to support the model's patient and physician competencies. Here are the six system competencies the authors suggest will facilitate shared decision-making in healthcare:


•    Provide overarching support for physicians' and patients' increased and timely access to patient-centered services.

•    Restructure reimbursement schemes to provide sufficient time and incentive for physicians to counsel and engage patients.

•    Create innovative models for redesigning care delivery in office settings to facilitate communication and optimize efficiency.

•    Implement new information systems to link patients with the best resources and decision aids available.

•    Increase access to understandable information about risks and benefits of therapy and diagnostic procedures.

•    Add professional staff to help patients achieve self-management and health literacy; implement interprofessional collaboration and teamwork; reward and acknowledge high levels of professionalism.

More Articles on Patient Engagement:

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ONC Presents "3 A's" Strategy to Engage Patients With Health IT

Is Patient Engagement All It's Cracked Up to Be? Some Say No

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