Implementing shared-decision-making for diabetes care across country settings: What really matters to people?

Michela Tinelli, Panagiotis Petrou, George Samoutis, Vivie Traynor, George Olympios, Alistair McGuire

Research output: Contribution to journalArticlepeer-review


Context Growing evidence of improved clinical outcomes and patient/professional satisfaction supports shared-decision-making (SDM) services as an effective primary care interventions for diabetes. However, only a few countries have actually adopted them (e.g. England). In other European countries (e.g. Cyprus) there is awareness that patients play a crucial role in decision-making, and SDM services could be considered as innovative strategies to promote the actual implementation of patient rights legislation and strengthen primary care. Objective to understand preferences of people with diabetes when choosing their care, and how they value alternative SDM services compared to their ‘current’ option. Preferences were collected from patients based in England, where SDM is already in place at national level, and Cyprus, where people are new to it, using a discrete-choice-experiment (DCE) survey. Results Cypriots valued choosing alternative SDM services compared to their ‘current’ option, whereas the English preferred their status quo to other services. Having the primary-care-physician as healthcare provider, receiving compassionate care, receiving detailed and accurate information about their care, continuity of care, choosing their care management and treatment, and reduced waiting time were the SDM characteristics that Cypriots valued; the English preferred similar factors, apart from information/continuity of care. Conclusion People with diabetes do value SDM and different SDM models may fit different groups according to their personal experience and country specific settings.

Original languageEnglish
Pages (from-to)786-792
Number of pages7
JournalHealth Policy
Issue number7
Publication statusPublished - 1 Jul 2017


  • Diabetes
  • Discrete choice experiment (DCE)
  • Patient experience
  • Policy change
  • Shared decision making


Dive into the research topics of 'Implementing shared-decision-making for diabetes care across country settings: What really matters to people?'. Together they form a unique fingerprint.

Cite this