Sağlık Hizmetlerinde “Paylaşılmış Karar Verme” Kavramı Üzerine Derleme Çalışması

Year 2025, Volume: 14 Issue: 3, 1245 - 1252, 25.09.2025

Yunus İçer , Ahmet Fatih Tunçay

https://doi.org/10.37989/gumussagbil.1768331

Abstract

Sağlık sistemi zaman içerisindeki sosyolojik dönüşümler ve teknolojik gelişmeler ışığında her yapıda olduğu gibi bir değişim ve dönüşüm yaşamıştır. Bu değişim ve dönüşümler içerisinde toplumsal yapının sağlık sistemi üzerindeki etkisi ve sağlık hizmetinden faydalanan ile sağlık hizmetini veren arasındaki ilişkiler de şekil ve içerik yönüyle değişime uğramıştır. Bu bağlamda dünya üzerindeki gelişmiş ve gelişmekte olan ülkelerde sağlık hizmetleri dönüşüm şematiği sağlık hizmeti alana yönelik en uygun tedavinin sağlık hizmetinden faydalananın değer yargıları ve fikri göz ardı edilerek uygulanmasını öngören ve sağlık hizmetini almakta olanı bir nesne olarak değerleyen, karar verme aşamasındaki tüm sorumluluğu sağlık hizmeti verenin yüklendiği hasta için kavramının başat rol oynadığı yaklaşımından sağlık hizmeti veren ile sağlık hizmeti alan arasındaki ilişkiden doğan ve her iki tarafın ortak yükümlülük almasını kapsayan, sağlık hizmeti süreçlerine hasta ve toplumun katılımını içeren temelinde hasta ile birlikte yaklaşımının ön planda olduğu ve paylaşılmış karar verme kavramını gündeme alan bir yapıya evirilmiştir. Bu kapsamda çalışmada paylaşılmış karar verme kavramı, gelişme süreci, gereklilikleri, ülkemizdeki sağlık sisteminde kullanımı ve kullanımın önündeki engeller ile gelişmiş ve gelişmekte olan ülkelerin sağlık sistemlerinde paylaşılmış karar verme kavramının yeri ve kullanım pratiklerini içeren araştırma bulguları tartışılmıştır.

Keywords

Hasta merkezli bakım , Hasta ve toplum işbirliği , Sağlık hizmetleri , Sağlık sistemi , Toplum ve hasta katılımı.

A Compilation Study on the Concept of "Shared Decision Making" in Healthcare

Abstract

The health system has experienced change and transformation over time, as in every structure, in the light of sociological transformations and technological developments. Within these changes and transformations, the impact of the social structure on the health system and the relationships between the beneficiary and the provider of health services have also changed in terms of form and content. In this context, the healthcare transformation schema in developed and developing countries around the world has evolved from an approach that envisages the implementation of the most appropriate treatment for the healthcare recipient, disregarding the value judgments and opinions of the healthcare recipient, and that values the healthcare recipient as an object, with the healthcare provider assuming all responsibility in the decision-making process and the concept of "for the patient" playing a dominant role, to a structure that emerges from the relationship between the healthcare provider and the healthcare recipient, encompassing shared responsibility on both sides, prioritizing the patient-together approach based on the participation of the patient and the community in healthcare processes, and emphasizing the concept of shared decision-making. In this context, the concept of shared decision-making, its development process, its requirements, its use in the health system in our country, the obstacles to its use, and research findings including the place and usage practices of the concept of shared decision-making in the health systems of developed and developing countries are discussed.

Keywords

Community and patient participation , Health services , Health system , Patient-centered care , Patient and community collaboration.

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