Metro Mapping: development of an innovative methodology to co-design care paths to support shared decision making in oncology

Treatment decision-making can be complex, notably when there are multiple treatments available, with different (probabilities of) benefits and harms, for example, survival and side effects.1 It is precisely in these complex situations that the preferences of the patient are of utmost importance, as the trade-offs of benefits and harms are...

Metro Mapping. Een service design methode voor het verbeteren van gedeelde besluitvorming in de oncologie.

Beslissingen over medische behandelingen worden steeds vaker gezamenlijk genomen door de arts, de patiënt en diens naasten. In deze gedeelde besluitvorming (of Shared Decision Making - SDM) over diagnose en behandeling worden ook de waarden en voorkeuren van patiënten meegenomen (Stiggelbout et al., 2015). Onderzoek heeft aangetoond dat gedeelde...

The bigger picture of shared decision making: A service design perspective using the care path of locally advanced pancreatic cancer as a case

Purpose: Solutions to improve the implementation of shared decision making (SDM) in oncology often focus on the consultation, with limited effects. In this study, we used a service design perspective on the care path of locally advanced pancreatic cancer (LAPC). We aimed to understand how experiences of patients, their significant others, and...

The potential of service design for improving the implementation of shared decision-making

This paper addresses the potential contribution of service design for improving the implementation of shared decision-making in healthcare. The iterative approach of design research is compared with the more linear, (social) scientific approaches often seen in health services research. Five foundational principles of service design are explored...