SynthesisBMC geriatrics2021
Barriers and facilitators for shared decision making in older patients with multiple chronic conditions: a systematic review.
Synthesis in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers, 7 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.
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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.
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Who cites it
101 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- What makes patients engaged: a meta narrative review and multilevel perspective on patient engagement.BMC psychology · 2026Pooled it
- Digital Health Intervention Effect on Older Adults With Chronic Diseases Living Alone: Systematic Review and Meta-Analysis of Randomized Controlled Trials.Journal of medical Internet research · 2025Pooled it
- Pooled it
- Stakeholders' experiences of comprehensive geriatric assessment in an inpatient hospital setting: a qualitative systematic review and meta-ethnography.BMC geriatrics · 2023Pooled it
- Interventions for the empowerment of older people and informal caregivers in transitional care decision-making: short report of a systematic review.BMC geriatrics · 2023Pooled it
- Exploring motivations and resistances for implementing shared decision-making in clinical practice: A systematic review based on a structure-process-outcome model.Health expectations : an international journal of public participation in health care and health policy · 2022Pooled it
- Termination of pregnancy for fetal anomaly: a systematic review of the healthcare experiences and needs of parents.BMC pregnancy and childbirth · 2022Pooled it
- Double Burdens and Double Resilience: Dynamic Interactions in Older Couples Living With Multimorbidity.Journal of advanced nursing · 2026Article
- Shared Decision-Making and Patient Enablement in Outpatient Rehabilitation: An Observational Study.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026Observational
- The Importance of a Relationship-Centred Approach to Deprescribing for People with Dementia or Mild Cognitive Impairment in Primary Care: A Qualitative Study.Dementia (London, England) · 2026Article
- Perspectives on shared decision making related to medications from patients with multiple long-term conditions transitioning from hospital to home: a qualitative study.International journal of clinical pharmacy · 2026Article
- [Geriatric medicine shapes the Future : Recommendations for modern Geriatric Medicine that places older people and their needs at the centre].Zeitschrift fur Gerontologie und Geriatrie · 2026Review
- The Mediation Role of Relatedness and Competence for Patient Activation: A Longitudinal Study of Older Adults with Chronic Illness.Healthcare (Basel, Switzerland) · 2026Article
- The association between health literacy and out-of-pocket health expenditure: exploring heterogeneity by chronic disease in Zhejiang, China.International journal for equity in health · 2026Article
- What really matters to older adults in life and treatment: a qualitative study on the role of connectedness in person-centered care.BMC geriatrics · 2026Article
- Evaluating the implementation of a deprescribing intervention in Swiss nursing homes: An observational study using qualitative and quantitative methods.Exploratory research in clinical and social pharmacy · 2026Article
- From conversation to completion: identifying conversation elements to support effective shared decision-making for lung cancer screening in rural primary care.BMC primary care · 2026Article
- Communication-related aspects drive senior patients' satisfaction with the process of decision-making in cancer therapy.Scientific reports · 2026Article
- Relationship Between Online Health Information Acquisition and Shared Decision-Making Among Patients With Diabetes: Cross-Sectional Survey Study.Journal of medical Internet research · 2026Article
- A qualitative study investigating clinician experiences with lecanemab implementation across seven academic medical centers.Journal of Alzheimer's disease : JAD · 2026Article
41 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundThe aim of this study was to describe barriers and facilitators for shared decision making (SDM) as experienced by older patients with multiple chronic conditions (MCCs), informal caregivers and health professionals.
methodsA structured literature search was conducted with 5 databases. Two reviewers independently assessed studies for eligibility and performed a quality assessment. The results from the included studies were summarized using a predefined taxonomy.
resultsOur search yielded 3838 articles. Twenty-eight studies, listing 149 perceived barriers and 67 perceived facilitators for SDM, were included. Due to poor health and cognitive and/or physical impairments, older patients with MCCs participate less in SDM. Poor interpersonal skills of health professionals are perceived as hampering SDM, as do organizational barriers, such as pressure for time and high turnover of patients. However, among older patients with MCCs, SDM could be facilitated when patients share information about personal values, priorities and preferences, as well as information about quality of life and functional status. Informal caregivers may facilitate SDM by assisting patients with decision support, although informal caregivers can also complicate the SDM process, for example, when they have different views on treatment or the patient's capability to be involved. Coordination of care when multiple health professionals are involved is perceived as important.
conclusionsAlthough poor health is perceived as a barrier to participate in SDM, the personal experience of living with MCCs is considered valuable input in SDM. An explicit invitation to participate in SDM is important to older adults. Health professionals need a supporting organizational context and good communication skills to devise an individualized approach for patient care.
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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.