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

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.