ArticleBMJ (Clinical research ed.)1999
Towards a feasible model for shared decision making: focus group study with general practice registrars.
Article in BMJ (Clinical research ed.), 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 5 of them syntheses that pooled it.
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Who cites it
88 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- A systematic review of shared decision making interventions in child and youth mental health: synthesising the use of theory, intervention functions, and behaviour change techniques.European child & adolescent psychiatry · 2023Pooled it
- Shared decision-making interventions for people with mental health conditions.The Cochrane database of systematic reviews · 2022Pooled it
- Patient expectations for management of chronic non-cancer pain: A systematic review.Health expectations : an international journal of public participation in health care and health policy · 2017Pooled it
- Shared decision making interventions for people with mental health conditions.The Cochrane database of systematic reviews · 2010Pooled it
- Shared decision making: developing the OPTION scale for measuring patient involvement.Quality & safety in health care · 2003Pooled it
- Shared decision making and risk communication in practice: a qualitative study of GPs' experiences.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Trial
- Qualitative study of evidence based leaflets in maternity care.BMJ (Clinical research ed.) · 2002Trial
- Evaluating high dose therapy in Multiple Myeloma: use of quality-adjusted survival analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2002Trial
- Randomised controlled trial of an interactive multimedia decision aid on benign prostatic hypertrophy in primary care.BMJ (Clinical research ed.) · 2001Trial
- Understanding access to general practice through the lens of candidacy: a critical review of the literature.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Review
- Article
- Shared decision-making training in general practice: a rapid review.Future healthcare journal · 2023Review
- GPs' perceptions of teaching methods in shared decision-making training: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Perceived barriers and facilitators of the implementation of a combined lifestyle intervention with a financial incentive for chronically ill patients.BMC family practice · 2019Article
- How Personal Perspectives Shape Health Professionals' Perceptions of Fetal Alcohol Spectrum Disorder and Risk.International journal of environmental research and public health · 2019Article
- Physician and Pharmacist Medication Decision-Making in the Time of Electronic Health Records: Mixed-Methods Study.JMIR human factors · 2018Article
- Patient Preferences for Diagnostic Testing in the Emergency Department: A Cross-sectional Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2018Article
- Article
- Perceptions of Urologists About the Conversational Elements Leading to Treatment Decision-Making Among Newly Diagnosed Prostate Cancer Patients.Journal of cancer education : the official journal of the American Association for Cancer Education · 2017Article
- Behavioural health consultants in integrated primary care teams: a model for future care.BMC family practice · 2016Article
28 more citing papers are in PubMed but not listed here.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore the views of general practice registrars about involving patients in decisions and to assess the feasibility of using the shared decision making model by means of simulated general practice consultations.
designQualitative study based on focus group interviews.
settingGeneral practice vocational training schemes in south Wales.
participants39 general practice registrars and eight course organisers (acting as observers) attended four sessions; three simulated patients attended each time.
methodAfter an introduction to the principles and suggested stages of shared decision making the registrars conducted and observed a series of consultations about choices of treatment with simulated patients using verbal, numerical, and graphical data formats. Reactions were elicited by using focus group interviews after each consultation and content analysis undertaken.
resultsRegistrars in general practice report not being trained in the skills required to involve patients in clinical decisions. They had a wide range of opinions about "involving patients in decisions," ranging from protective paternalism ("doctor knows best"), through enlightened self interest (lightening the load), to the potential rewards of a more egalitarian relationship with patients. The work points to three contextual precursors for the process: the availability of reliable information, appropriate timing of the decision making process, and the readiness of patients to accept an active role in their own management.
conclusionsSharing decisions entails sharing the uncertainties about the outcomes of medical processes and involves exposing the fact that data are often unavailable or not known; this can cause anxiety to both patient and clinician. Movement towards further patient involvement will depend on both the skills and the attitudes of professionals, and this work shows the steps that need to be taken if further progress is to be made in this direction.
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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.