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Shared Decision-Making and Coproduction in Surgery: The Patient Is the Cure

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Towards the Future of Surgery

Part of the book series: New Paradigms in Healthcare ((NPH))

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Abstract

Coproduction and shared-decision making (SDM) approaches require the patient’s involvement in the clinical decisions, when more reasonable options are available. Coproduction and SDM dynamics lead to increased patient’s satisfaction and better adherence to the treatment plan. While SDM stands as a standard paradigm in elective surgery, other surgical contexts may not be ideal for SDM dynamics. Trauma and emergency surgery often represents a challenging surgical discipline, with surgeons working under high pressure and with little knowledge about the patient’s identity, previous conditions, and treatment preferences and values. Still, some emergency and trauma situations may allow SDM. Starting from a narrative review of the literature, the chapter explores the topic by reporting the results of a study conducted within the World Society of Emergency Surgery (WSES).

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Authors and Affiliations

  1. General Surgery Department, IRCCS Policlinico San Matteo Foundation, Pavia, Italy

    Lorenzo Cobianchi, Paola Fugazzola, Simone Frassini & Luca Ansaloni

  2. Department of Clinical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy

    Lorenzo Cobianchi, Paola Fugazzola, Simone Frassini & Luca Ansaloni

  3. Collegium Medicum, University of Social Sciences, Łodz, Poland

    Lorenzo Cobianchi

  4. Department of Management, Venice School of Management, Ca’ Foscari University of Venice, Venice, Italy

    Francesca Dal Mas

  5. Collegium Medicum, University of Social Sciences, Łodz, Poland

    Francesca Dal Mas

  6. Emergency Surgery, Careggi University Hospital, Florence, Italy

    Jacopo Martellucci

  7. General Direction, ASL BAT (Health Agency), Andria, Italy

    Federico Ruta

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  1. Lorenzo Cobianchi
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  2. Francesca Dal Mas
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  3. Jacopo Martellucci
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  7. Luca Ansaloni
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Correspondence to Luca Ansaloni .

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Editors and Affiliations

  1. Emergency Surgery, Careggi University Hospital, Florence, Italy

    Jacopo Martellucci

  2. Collegium Medicum, University of Social Sciences, Łodz, Poland

    Francesca Dal Mas

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Cobianchi, L. et al. (2023). Shared Decision-Making and Coproduction in Surgery: The Patient Is the Cure. In: Martellucci, J., Dal Mas, F. (eds) Towards the Future of Surgery. New Paradigms in Healthcare. Springer, Cham. https://doi.org/10.1007/978-3-031-47623-5_12

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  • DOI: https://doi.org/10.1007/978-3-031-47623-5_12

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