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013 Shared decision making in Asia: adaptations and contributions
  1. Yumi Aoki1,
  2. Weiwei Lu2,
  3. Tammy Hoffmann3,
  4. Wen-Hsuan Hou4,
  5. Wendy Wing Tak Lam5,
  6. Yew Kong Lee6,
  7. Hisayuki Miura7,
  8. Chirk Jenn Ng8,
  9. Jacqueline Kwan Yuk Yuen9,
  10. on behalf of Asia SDM network
  1. 1Graduate School of Nursing Science, St. Luke’s International University, Tokyo, Japan
  2. 2Department of Social and Behavioural Sciences, City University of Hong Kong, HKSAR, China
  3. 3Centre for Evidence-Informed Health Decisions, Institute for Evidence-Based Healthcare, Bond University, Gold Coast, Australia
  4. 4Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital/School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
  5. 5Jockey Club Institute of Cancer Care, School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, HKSAR, China
  6. 6Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
  7. 7Department of Home Care and Regional Liaison Promotion, National Center for Geriatrics and Gerontology, Japan
  8. 8Primary Care Research Institute, SingHealth Polyclinics, Singapore
  9. 9Department of Medicine, School of Clinical Medicine, The University of Hong Kong, HKSAR, China
  10. *Co-first authorship


Shared decision-making (SDM) is a global concern and is central to achieving patient-centered healthcare. This trend is equally pertinent in Asia, but the practical implementation of SDM in clinical settings remains a formidable challenge. Its limited adoption in Asia may also be influenced by cultural factors. The core concept of SDM is rooted in advocating patient autonomy, predicated on the principles of individual autonomy and self-determination. However, Asian cultures place a higher premium on harmony and are built upon strong interpersonal relationships. Notably, involving significant others, such as family, in treatment decision-making is a common practice in Asia. Moreover, treatment decision- making often leans towards surrogate or triadic decision-making. Recent research on SDM has increasingly underscored the importance of relationships and social aspects. In this symposium, SDM researchers from various Asian countries and districts will present their research relevant to the application of SDM in their region. The themes of each speaker are as follows:Yumi Aoki, Japan: The trends of SDM research and its clinical adaptations in Japan.Wen-Hsuan Hou, Taiwan: Advocating SDM in Taiwan: from central to local; from research to practice.Yew Kong Lee, Malaysia: SDM as a tool to help patients navigate culturally sensitive decisions.Weiwei Lu, Mainland China: Toward mutual engagement: A narrative-based model of shared decision making.Chirk Jenn Ng, Singapore: Implementing SDM: Opportunities and challenges.Jacqueline Yuen, Hong Kong: SDM in Hong Kong: The patient-family-clinician dynamics.

Our overarching goal is to engage participants in substantive discussions about the practical challenges related to SDM in the Asian context and its innovative contributions to the global SDM landscape. We then aim to foster a deeper understanding of how SDM can be effectively integrated into healthcare practices worldwide.

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