Evidence map›Paper›PMID 41589076›Full record

ReviewJournal of Korean medical science2026

Toward the Implementation of Shared Decision-Making in Korean Clinical Practice: Study Protocol for a Foundational Research Project.

Min Ji Kim, Sang-Ho Yoo, Kyung-Sook Woo, Heeseung Choi, Eunsuk Chang, Kyungsuk Choi, Young Su Park, Yoongu Kim, Do Hoon Kim, Junhewk Kim and 1 more

Abstract readReview
In one paragraph

Review in Journal of Korean medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Min Ji KimDepartment of Medical Humanities and Ethics, Hanyang University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-8444-4025
Sang-Ho YooDepartment of Medical Humanities and Ethics, Hanyang University College of Medicine, Seoul, Korea. karmaboy@hanyang.ac.kr.ORCID https://orcid.org/0000-0001-9030-1365
Kyung-Sook WooInstitute of Health and Society, Hanyang University, Seoul, Korea.ORCID https://orcid.org/0000-0002-6317-8215
Heeseung ChoiCollege of Nursing, Seoul National University, Seoul, Korea.ORCID https://orcid.org/0000-0002-2649-4972
Eunsuk ChangAerospace Medicine Research Center, Republic of Korea Air Force, Cheongju, Korea.ORCID https://orcid.org/0000-0002-1350-3606
Kyungsuk ChoiSchool of Law, Ewha Womans University, Seoul, Korea.ORCID https://orcid.org/0000-0002-6681-8521
Young Su ParkDepartment of the History of Medicine and Medical Humanities, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-3447-2319
Yoongu KimDepartment of Medical Humanities and Ethics, Hanyang University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-2256-7473
Do Hoon KimDepartment of Family Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-7421-4501
Junhewk KimDepartment of Dental Education, Yonsei University College of Dentistry, Seoul, Korea.ORCID https://orcid.org/0000-0002-9109-270X
Dong Wook ShinDepartment of Family Medicine, Supportive Care Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-8128-8920

Funding

Ministry of Health and Welfare RS-2023-KH142275
6 · The paper itself

Abstract

Shared decision-making (SDM) is an essential component of patient-centered care, yet its implementation in South Korea remains limited due to a persistent physician-centered clinical culture. This project, supported by the Ministry of Health and Welfare, aims to establish a foundation for nationwide SDM implementation by developing a culturally adapted Korean SDM model and creating a framework to support its institutionalization and widespread clinical adoption. This four-year project consists of five interlinked work packages (WPs) organized into two phases, each lasting two years. Using a multi-method approach-comprising nationwide surveys, systematic literature reviews, and psychometric validation studies-we will assess the current landscape (WP1) and develop standardized SDM evaluation tools for primary stakeholders (WP2). A clinical research data management system will be designed and implemented to support data integration and monitoring (WP3). The central component involves developing a Korean SDM conceptual model and corresponding implementation strategies (WP4). Economic evaluations and legal analyses will inform the design of a pilot reimbursement framework to support sustainable system-level integration (WP5). The project is expected to produce the following outcomes: i) an analysis of domestic and international SDM trends; ii) validated SDM assessment tools and guidelines tailored for the Korean context; iii) a standardized and interoperable SDM data management system; iv) a culturally grounded Korean SDM model with evidence-based implementation strategies; and v) policy proposals, including a reimbursement model, to facilitate system-wide adoption. This work will provide the theoretical, empirical, and policy basis required to advance SDM within the Korean healthcare system. By addressing cultural characteristics and structural barriers, the resulting SDM model and policy recommendations are expected to support the sustainable institutionalization of SDM and strengthen patient autonomy and the quality of clinical practice in Korea.

Indexed as

Decision MakingDecision Making, SharedHumansPatient-Centered CareRepublic of KoreaResearch DesignSurveys and QuestionnairesDecision Making, SharedHealth CommunicationPatient-Centered CarePatient ParticipationProfessional-Patient RelationsRepublic of Korea

Identifiers

PMID41589076
PMCPMC12834653

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.