ArticleJournal of general internal medicine2020
Dealing with the Lack of Time for Detailed Shared Decision-making in Primary Care: Everyday Shared Decision-making.
Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07073898 (Population Health Management Approaches to Increase Lung Cancer Screening in Community Health Centers - UG3 Pilot Clinical Trial), which is not on this map. Cited by 49 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Population Health Management Approaches to Increase Lung Cancer Screening in Community Health Centers - UG3 Pilot Clinical Trial
Who cites it
49 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Guideline
- Guideline
- Effect of a Peer Comparison and Educational Intervention on Medical Test Conversation Quality: A Randomized Clinical Trial.JAMA network open · 2023Trial
- Trial
- Feasibility and acceptability of an everyday patient-centered discussion model for primary care: An exploratory, single-center study in the VA primary care setting.PEC innovation · 2026Article
- Real-World Implementation and Evaluation of a Digitally Enabled Care Pathway to Improve Depression Management in Primary Care: Controlled Pre-Post Analysis of the Pathway Platform.JMIR formative research · 2026Article
- Optimizing conversations on treatment management in hereditary angioedema: healthcare professional and patient perspectives on long-term prophylaxis and shared decision-making.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2026Article
- Automated Approaches of Text Simplification of Patient Education Materials: Scoping Review.Journal of medical Internet research · 2026Article
- Evaluating a digital decision aid for atrial fibrillation rhythm control in a hybrid implementation-effectiveness trial.NPJ digital medicine · 2026Article
- Personalizing lung cancer screening recommendations for heterogeneous populations: a microsimulation study.Journal of the National Cancer Institute · 2026Article
- Shared decision-making in primary care: barriers and facilitators from the physician's and patient's perspectives: a scoping review.Archives of medical science : AMS · 2026Article
- Shared decision-making in pediatric physical therapy: A qualitative study among adolescents, parents, and physical therapists.PloS one · 2026Article
- Knowledge and Attitude Toward Shared Decision-Making (SDM) Among Senior Students and Residents of Dental College at Riyadh City: A Cross-Sectional Study.International journal of dentistry · 2026Article
- Acceptability among patients of a risk graphic designed to facilitate shared decision making prior to elective abdominal wall hernia repair.Surgical endoscopy · 2026Article
- 'A return on investment'. How shared decision-making benefits doctors: a key informant interview study.BMJ open · 2025Article
- Shared Decision-Making. A Primer for Clinicians.Journal of general internal medicine · 2025Article
- Navigating shared decision-making in lung cancer screening: Insights into barriers, training, and referral propensity among clinicians.Patient education and counseling · 2025Article
- Dynamic postoperative prognosis and follow-up optimization for gastric cancer patients after neoadjuvant therapy: a multicenter retrospective study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025Article
- An Everyday Patient-Centered Discussion Model for Primary Care: Protocol for a Feasibility and Acceptability Study of the Zeroing in on Individualized, Patient-Centered Decisions (ZIP) Approach.JMIR research protocols · 2025Article
- How hospital doctors respond to contextual factors revealed by older patients with heart failure in hospital interactions: an interaction-based study.BMC health services research · 2025Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
Policymakers and researchers are strongly encouraging clinicians to support patient autonomy through shared decision-making (SDM). In setting policies for clinical care, decision-makers need to understand that current models of SDM have tended to focus on major decisions (e.g., surgeries and chemotherapy) and focused less on everyday primary care decisions. Most decisions in primary care are substantive everyday decisions: intermediate-stakes decisions that occur dozens of times every day, yet are non-trivial for patients, such as whether routine mammography should start at age 40, 45, or 50. Expectations that busy clinicians use current models of SDM (here referred to as "detailed" SDM) for these decisions can feel overwhelming to clinicians. Evidence indicates that detailed SDM is simply not realistic for most of these decisions and without a feasible alternative, clinicians usually default to a decision-making approach with little to no personalization. We propose, for discussion and refinement, a compromise approach to personalizing these decisions (everyday SDM). Everyday SDM is based on a feasible process for supporting patient autonomy that also allows clinicians to continue being respectful health advocates for their patients. We propose that alternatives to detailed SDM are needed to make progress toward more patient-centered care.
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Registered trials
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.