Browsing by Author "Bravo P."

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    Advancing towards the implementation of patient-centred care in Chile: An opportunity to effectively practice shared decision-makingAuf dem Weg zur Implementierung von patientenzentrierter Versorgung in Chile: eine Chance, partizipative Entscheidungsfindung wirkungsvoll in die Praxis umzusetzen
    (HUMANA PRESS INC, 2022) Bravo P.; Dois A.; Martinez A.; Gonzalez-Aguero M.; Campos S.; Bustamante C.; Soto G.; Rioseco A.; Vargas I.; Stacey D.
    © 2022In Chile, local normative and guidelines place patient-centred care (PCC) as a desirable means and outcome for each level of health care. Thus, a definition of PCC is provided, and for the first time shared decision-making (SDM) is included as an intended practice. During the past five years the country has shown progress on the implementation of PCC. A large pilot study was conducted in one of the Metropolitan Health Services, and now the health authority is committed to escalate a PCC strategy nationwide. From the practice domain, most of the work is being placed on the training of health professionals. Patients' preparation for the clinical encounter is scarce, thereby limiting their potential to participate in their care. At the research domain, the country shows a strengthened agenda that has advanced from a diagnostic phase (including the exploration from social sciences) to a purposeful stage which involves the development of training programs, patient decision aids, international collaborations, and other PCC interventions. The country is now positioned to secure new initiatives to empower patients and allow them to take an active role, as a key component of PCC and SDM.
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    Experts' views on the communication of risks and benefits of mammography to detect breast cancerConsideraciones para comunicar riesgos y beneficios de la mamografía a mujeres desde la perspectiva de los expertos
    (HUMANA PRESS INC, 2021) Dois A.; Bravo P.; Uribe C.; Fernandez-Gonzalez L.
    BACKGROUND: Breast cancer (BC) has a high mortality rate in developing countries due to a scarcity of early detection. Risk communication is critical to support women who face the decision to undertake BC screening. Thus, they can balance their perceived and real risk, and make informed choices. AIM: To describe experts' views on how the provision of information related to BC screening should be made. MATERIAL AND METHODS: A qualitative study with focus groups with national experts was conducted. Open coding was performed. RESULTS: Four categories on the way information about BC screening should be provided emerged: to communicate about the need of the exam; the pros and cons of the test; fear as a barrier for understanding; and involving women in the decision-making process. CONCLUSIONS: These findings emphasize the need to include risk communication strategies in the patient-provider relationship and encourage and respect women's autonomy when facing the BC screening decision.