Shared decision-making in Malaysia: Legislation, patient involvement, implementation and the impact of COVID-19; Partizipative Entscheidungsfindung in Malaysia: Gesetzgebung, Patientenbeteiligung, Implementierung und die Auswirkungen von COVID-19

Lee, Yew Kong and Ng, Chirk Jenn and Lee, Ping Yein and Tong, Wen Ting and Sa'at, Hamizah (2022) Shared decision-making in Malaysia: Legislation, patient involvement, implementation and the impact of COVID-19; Partizipative Entscheidungsfindung in Malaysia: Gesetzgebung, Patientenbeteiligung, Implementierung und die Auswirkungen von COVID-19. Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen, 171. 89 – 92. ISSN 18659217, DOI https://doi.org/10.1016/j.zefq.2022.04.020.

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Abstract

Shared decision making (SDM) activities in Malaysia began around 2010. The rise in the numbers of patients with chronic disease in Malaysia underscores a growing need for doctors to practice patient-centred care and SDM as more Malaysians come into regular contact with health decision-making scenarios. Recent guidelines for medical professionalism have emphasized that options and risks be discussed in consultations, especially for procedures with risk of adverse outcomes. Although SDM is not legally required, principles of SDM are applied in legal judgements on informed consent. Research on SDM has grown to include the adoption of patient and public involvement in research, an increased emphasis on incorporating local cultural values in SDM, and implementation of SDM in Malaysia's health system and organizational culture. While COVID-19 hindered the progress of SDM research, one positive development was that vaccination choices heightened public consciousness about personal decisional autonomy and the need to discuss pros and cons with doctors before making a medical decision. © 2022

Item Type: Article
Funders: University of Malaya Research University Grant- Faculty Program [Grant No; GPF006C-2018]
Uncontrolled Keywords: COVID-19; Decision making; Decision making, Shared; Germany; Health policy; Humans; Malaysia; Patient Participation; decision making; Germany; Health care policy; Human; Malaysia; Patient participation; Prevention and control
Subjects: R Medicine > R Medicine (General)
R Medicine > RD Surgery
Divisions: Faculty of Medicine
Faculty of Medicine > Primary Care Medicine Department
Faculty of Medicine > Surgery Department
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 26 Oct 2023 07:47
Last Modified: 26 Oct 2023 07:47
URI: http://eprints.um.edu.my/id/eprint/43614

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