Cultural adaptation of shared decision making and patient-centred care models

Abstract

Abstract Globally, there is a growing emphasis on patient-centred care (PCC) and shared decision making (SDM), advocating for active patient involvement in clinical decisions. However, much of the evidence and experience comes from high-income countries in the global north. Implementing PCC and SDM interventions without considering the culture where they will be used runs against the ethos of a more respectful and participatory healthcare model. The challenge lies in adapting PCC and SDM to diverse cultural contexts without compromising their essence. This chapter explores the rationale behind the cultural and contextual adaptation of SDM and PCC interventions/models, proposing a systematic approach to conducting such processes and sharing successful experiences from Asia, Oceania, and South America.