Amsterdam Public Health

Background: A formally healthy patient who is in emergency room with a sepsis will generally not long for shared decision making and extensive consultation about the policy or treatment to be followed. After all, there is not so much to choose. The situation is different for a woman with breast cancer who has to decide whether she will undergo breast-conserving surgery or a mammary amputation. Especially with far-reaching decisions where there are more options, it is important to involve the patient as much as possible in that decision. Developing guidelines is a difficult process and more attention is needed to different options for various patients and their preferences. Shared decision making (SDM), are the magic words, but is it a quality gain or drain?
Confirmed debaters: 1. Inge Henselmans, Assistant professor Medical Psychology and teacher at GP trainee program Amsterdam UMC, location AMC; 2. Gerda van der Weele, GP, The Dutch College of General Practitioners, NHG; 3. Dirk Ubbink, Professor and chair working group Shared Decision making Amsterdam UMC, location AMC; 4. Danielle Timmermans, Professor Public Health Risk Communication, Amsterdam UMC, location VUmc; 5. Bert Molewijk, Professor Clinical Ethics Support & Quality of Care, Amsterdam UMC, location VUmc;
Program: 15:30 -15.35 Welcome by program leaders Personalized Medicine: Kristel van Asselt and Meike Bartels
15:35 – 15:50 Dirk Ubbink Introduction SDM in Clinical Practice, what goals do we try to achieve? + Q&A
15:50 - 16:05 Gerda van der Weele SDM in primary care, the role of guidelines + Q&A
16:05 – 16:20 Inge Henselmans Shared Decision Making: Research on the effect of education + Q&A
16:20 – 16:40 Break-out sessions with the speakers, Danielle Timmermans and Bert Molewijk as chairs of the break-out sessions
16:40 – 17:00 Feedback from the break-out sessions. Danielle Timmermans and Bert Molewijk reflect on the question what research needs to be done in order to successfully implement shared decision-making in practice.
17:00 Closing
Propositions: SDM should be applied for every medical decision SDM is not feasible in practice SDM coincides with the application of evidence-based guidelines SDM does take into account evidence, but not emotions