Clinical and Cost-Effectiveness of Shared Decision Making: Evidence from a Prospective Multicenter Study Evaluating a Hospital-Based Intervention in Germany
Marie Barzen Coors e outros, 2026 · Medical Decision Making
Implementation of the SHARE TO CARE shared decision-making program in a neurology department reduced 1-year emergency department admissions by 0.16 visits per patient.
Estimativa · Emergency department admissions per patient over 1-year follow-up, count
-0,160 [-0,310; 0]
change in count of admissions per patient
P < 0.1
- Desenho
- Diferenças em diferenças. Quasi-experimental difference-in-differences with exact matching against 47 control hospitals
- População
- Inpatient neurology patients insured by Techniker Krankenkasse, Germany, 2017–2020
- Amostra
- 2.473 · patients
Onde está o número
Table 2, row 'Emergency department admissions: Total', column 'DiD'
Total | 0.44 (0.95) | 0.33 (0.79) | 0.24 (0.49) | 0.30 (0.76) | −0.16* [−0.31, 0.00]
Contexto
What changed: Implementation of SHARE TO CARE (S2C), a 4-module hospital-wide shared decision-making program including staff training, patient decision aids, and decision coaches. Comparison: Pre- vs post-intervention changes relative to 47 matched university and teaching hospitals across Germany. Limits: Restricted to neurology inpatients from a single health insurer (TK); intervention was completed in only one hospital campus prior to COVID-19 disruptions; effect was only weakly significant.
Caminho no grafo
- FamíliaInformação e persuasão
- TipoCapacitação e aconselhamento
- ResultadoInternações hospitalares
- EixoSaúde
MAGI só cita evidência deste instrumento
Lugares do estudo
- Germany · País · DE
- Licença
- CC-BY
- Revisão
- Extraído por máquina, não revisadoExtraído por: gemini-3.8-flash, 2026-10-23