The aim of this review is to identify and synthesise the best available evidence on the importance of internal and external influences on shared decision-making between adult patients and healthcare professionals in all healthcare settings. In today's healthcare arena, there is an emphasis on patient-centred care. This emphasis is evident in the work of the International Association of Patient Organisations (IAOP), which describes patient-centred healthcare as care that is focused on the needs and preferences of patients. The concept of shared decision-making began to appear in the literature in the 1990s. It is defined as 'a shared process between patients and their healthcare professionals. Its aim is to help patients play an active role in making decisions about their health, which is the ultimate goal of patient-centred care'. In today's healthcare environment, more emphasis is being placed on patient-centred care, which exemplifies patient involvement, participation, partnership and shared decision-making. Given the shift from a more autocratic delivery of care to a collaborative approach, there is a need for a fuller understanding of what collaborative decision-making is, as well as how collaborative decision-making takes place and what internal and external influences can encourage, support and facilitate collaborative decision-making. The aim of this qualitative systematic review is to identify internal and external influences on shared decision-making in all healthcare settings.
https://www.researchgate.net/profile/Dorothee-Kasteleijn-Nolst-Trenite/publication/13083052_A_patient_diary_as_a_tool_to_improve_medicine_compliance /links/54dccb800cf282895a3b2474/A-patient-diary-as-a-tool-to-improve-medicine-compliance.pdf