Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus

Un desafío para Latinoamérica

Translated title of the contribution: Shared decision making in patients with diabetes mellitus

Valentina Serrano, Laura Larrea-Mantilla, René Rodríguez-Gutiérrez, Gabriela Spencer-Bonilla, Germán Málaga, Ian Hargraves, Victor Manuel Montori

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Patients with diabetes mellitus often have several medical problems and carry a burden imposed by their illness and treatment. Health care often ignores the values, preferences and context of patients, leading to treatments that do not fit into patients’ overwhelmed lives. Shared Decision Making (SDM) emerges as a way to answer the question: “What’s best for the patient?”. SDM promotes an empathic conversation between patients and clinicians that integrates the best evidence available with their values, preferences and context. We discuss three SDM approaches for patients with diabetes: one focused on sharing information, another on making choices, and a third one on helping patients and clinicians to talk about how to address the problems of living with diabetes and its comorbidities. Despite the benefits demonstrated in studies conducted in the U.S. and Europe, the implementation of SDM continues to be a challenge. In Latin America, healthcare and socio-economic conditions render the implementation of SDM more challenging. Research aimed to respond to this challenge is necessary. Meanwhile, clinicians can practice SDM by sharing evidence-based information, giving voice to patients’ values and preferences in making choices, and creating empathic conversations aimed at decisions aligned with patients’ context, dreams, goals, and life expectations.

Original languageSpanish
Pages (from-to)641-649
Number of pages9
JournalRevista Medica de Chile
Volume145
Issue number5
DOIs
StatePublished - May 1 2017

Fingerprint

Decision Making
Diabetes Mellitus
Patient Preference
Delivery of Health Care
Latin America
Information Dissemination
Comorbidity
Economics
Therapeutics
Research

Keywords

  • Decision making
  • Decision support techniques
  • Diabetes mellitus
  • Evidence-Based medicine

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Serrano, V., Larrea-Mantilla, L., Rodríguez-Gutiérrez, R., Spencer-Bonilla, G., Málaga, G., Hargraves, I., & Montori, V. M. (2017). Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: Un desafío para Latinoamérica. Revista Medica de Chile, 145(5), 641-649. https://doi.org/10.4067/S0034-98872017000500012

Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus : Un desafío para Latinoamérica. / Serrano, Valentina; Larrea-Mantilla, Laura; Rodríguez-Gutiérrez, René; Spencer-Bonilla, Gabriela; Málaga, Germán; Hargraves, Ian; Montori, Victor Manuel.

In: Revista Medica de Chile, Vol. 145, No. 5, 01.05.2017, p. 641-649.

Research output: Contribution to journalArticle

Serrano, V, Larrea-Mantilla, L, Rodríguez-Gutiérrez, R, Spencer-Bonilla, G, Málaga, G, Hargraves, I & Montori, VM 2017, 'Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: Un desafío para Latinoamérica', Revista Medica de Chile, vol. 145, no. 5, pp. 641-649. https://doi.org/10.4067/S0034-98872017000500012
Serrano V, Larrea-Mantilla L, Rodríguez-Gutiérrez R, Spencer-Bonilla G, Málaga G, Hargraves I et al. Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: Un desafío para Latinoamérica. Revista Medica de Chile. 2017 May 1;145(5):641-649. https://doi.org/10.4067/S0034-98872017000500012
Serrano, Valentina ; Larrea-Mantilla, Laura ; Rodríguez-Gutiérrez, René ; Spencer-Bonilla, Gabriela ; Málaga, Germán ; Hargraves, Ian ; Montori, Victor Manuel. / Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus : Un desafío para Latinoamérica. In: Revista Medica de Chile. 2017 ; Vol. 145, No. 5. pp. 641-649.
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