Abstract
Reducing health inequalities and enhancing the social accountability of medical students and physicians is a challenge acknowledged by medical educators and professionals. It is usually perceived as a macro-level, community type intervention. This commentary suggests a different approach, an interpersonal way to decrease inequality and asymmetry in power relations to improve medical decisions and care. Shared decision-making practices are suggested as a model that requires building partnership, bi-directional sharing of information, empowering patients and enhancing tailored health care decisions. To increase the implementation of shared decision-making practices in Israel, an official policy needs to be established to encourage the investment of resources towards helping educators, researchers, and practitioners translate and integrate it into daily practice. Special efforts should be invested in medical education initiatives to train medical students and residents in SDM practices.
Highlights
Reducing health inequalities and enhancing the social accountability of medical students and physicians is a challenge acknowledged by medical educators and professionals
According to Rudolf’s analysis, Israeli medical schools are not educating students about what Boelen considers “true social accountability,” which involves working in partnership with the communities about their perceived health needs and defining the medical school’s academic agenda
This commentary focuses on an interpersonal approach to achieving true social accountability and the unique role of medical schools in leading these efforts
Summary
Clients' experience of partnership with occupational therapists in community mental health. Montori VM, Gafni A, Charles C: A shared treatment decision‐making approach between patients with chronic conditions and their clinicians: the case of diabetes.
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