147219 20260217205521.0 doi 10.1016/j.pec.2024.108551 sideral 141076 ART-2024-141076 eng Sañudo, Yeray Universidad de Zaragoza (orcid)0000-0003-0420-6746 The implementation of design methodologies for supporting shared decision making in healthcare services: A systematic review. 2024 Access copy available to the general public Unrestricted Objectives This systematic review examines how design methodologies support Shared Decision Making (SDM), identifies the most suitable for future use, explores types of methodologies used, challenges faced, and the impact on patients, clinicians, and care pathways. Methods Studies were searched on Medline, Web of Science, Scopus and grey literature (Google Scholar, CORDIS) up to July 2024, following PRISMA guidelines. Results were analysed to identify patient involvement, design strategies, SDM solutions, and their impact on care paths, professionals, and patients. Results Out of 2499 studies and 39 grey literature projects identified, 22 studies (reported in 35 publications) were selected, primarily from the USA and Europe (2015 onward). User-Centered Design predominated, involving health professionals more than patients. IPDAS standards were common. Evaluations showed improved patient experience and SDM role, with a potential increase in healthcare professionals' workload. Conclusion Although design methodologies are used in SDM implementation, improvement is needed. Service Design can enhance implementation by analysing the entire SDM process, while co-creative approaches develop patient-focused solutions that integrate smoothly into health professionals' workflows. Practical implications Introducing SDM in healthcare is complex, but design methodologies can help by analysing stakeholder needs, providing a broader care path view, and facilitating SDM implementation. info:eu-repo/grantAgreement/EC/HORIZON EUROPE/101057332/EU/Design-based Data-Driven Decision-support Tools: Producing Improved Cancer Outcomes Through User-Centred Research/4D PICTURE info:eu-repo/semantics/openAccess by-nc-nd https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es 3.1 2024 SOCIAL SCIENCES, INTERDISCIPLINARY 25 / 273 = 0.092 2024 Q1 T1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 99 / 421 = 0.235 2024 Q1 T1 1.237 2024 Medicine (miscellaneous) 2024 Q1 6.2 2024 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Akoglu, Canan Rietjens, Judith A.C. Snelders, Dirk Stiggelbout, Anne M. Sierra-Pérez, Jorge Universidad de Zaragoza (orcid)0000-0002-7660-3508 5002 305 Universidad de Zaragoza Dpto. Ingeniería Diseño Fabri. Área Expresión Gráfica en Ing. 131 (2024), 108551 [13 pp.] Patient educ. couns. PATIENT EDUCATION AND COUNSELING 0738-3991 2227251 http://zaguan.unizar.es/record/147219/files/texto_completo.pdf Versión publicada 2519229 http://zaguan.unizar.es/record/147219/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:147219 articulos driver 2026-02-17-20:28:46 ARTICLE