Introduction Shared Decision Making (SDM) has been a patient‘s fundamental right in Norway since 2001, with recent mandates for implementation (2016) and healthcare education (2017). Despite excellence hubs, nationwide adoption remains slow. Systematic SDM training is hindered by a diversity of reasons, e.g. competing priorities due to healthcare settings and lack of departmental incentives.

To accelerate SDM adoption, the regional health authority in Northern Norway and Mid-Norway appointed time limited SDM coordinators for four hospital trusts, focusing on knowledge dissemination, implementation methods, patient decision aid use, and SDM effect measurements. Our report will present findings from an internal evaluation over a three years period.

Methods Seven coordinators are invited to participate voluntarily in structured interviews conducted by members of Centre for Shared Decision Making in Tromsø. Categories explored will include organizational factors, realization metrics, and experiential aspects. Interview notes will be anonymized and summarized.

Results Currently ongoing, the interrogation anticipates high engagement and commitment among coordinators, leading to productive connections within hospitals and fostering SDM through a single-seed strategy. Simultaneously, we expect reports of systemic obstacles and varying degrees of local professional community affiliation among coordinators.

Discussion Preliminary results will guide an in-depth analysis, examining the interplay between individual strategies, organizational dynamics, and broader challenges. Insights gained from this evaluation may inform strategies for overcoming resistance and promoting sustained SDM implementation in diverse healthcare settings.

Conclusion(s) Findings are anticipated for the Lausanne conference, shedding light on the complexities of coordinating SDM implementation in a multifaceted healthcare landscape and hopefully contributing insights for similar contexts.

References

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2. Nasjonal helse- og sykehusplan (2016–2019); https://www.regjeringen.no/no/dokumenter/meld.-st.-11-20152016/id2462047/, downloaded December 15th 2023

3. Forskrift om spesialistutdanning og spesialistgodkjenning for leger og tannleger (spesialistforskriften); https://lovdata.no/dokument/SF/forskrift/2016-12-08-1482/KAPITTEL_9#KAPITTEL_9, downloaded December 15th 2023