ArticleHealth expectations : an international journal of public participation in health care and health policy2021
Shared decision making in consultations for hypertension: Qualitative study in general practice.
Article in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Fostering active choice to empower behavioral change to reduce cardiovascular risk: A web-based randomized controlled trial.PloS one · 2024Trial
- 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
- The ongoing quest for the independent patient: an interview study on healthcare professionals' perspectives on integrating self-monitoring of blood pressure in hypertension care.BMC primary care · 2026Article
- Sociodemographic and Clinical Characteristics and Self-Care Behaviors Are Associated With Shared Decision-Making in Adults With Hypertension.Journal of the American Heart Association · 2025Article
- A clinical trial evaluating pharmacist-guided self-management of hypertension among veterans with CKD, rationale and study design.Contemporary clinical trials · 2025Article
- Article
- Update of the clinical guideline for hypertension diagnosis and treatment in Iran.Clinical hypertension · 2024Article
- Shared decision making applied to self-management program for hypertensive patients: A scoping review protocol.PloS one · 2024Article
- Barriers and Facilitators of Medication Adherence in Hypertension Patients: A Meta-Integration of Qualitative Research.Journal of patient experience · 2024Article
- The Effect of Diabetes Management Shared Care Clinic on Glycated Hemoglobin A1c Compliance and Self-Management Abilities in Patients with Type 2 Diabetes Mellitus.International journal of clinical practice · 2023Article
- Shared decision making in consultations for hypertension: Qualitative study in general practice.Health expectations : an international journal of public participation in health care and health policy · 2021Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHypertension is mainly managed in primary care. Shared decision making is widely recommended as an approach to treatment decision making. However, no studies have investigated; in detail, what happens during primary care consultations for hypertension.
aimTo understand patients' and clinicians' experience of shared decision making for hypertension in primary care, in order to propose how it might be better supported.
designLongitudinal qualitative study.
settingFive general practices in south-west England.
methodInterviews with a purposive sample of patients with hypertension, and with the health-care practitioners they consulted, along with observations of clinical consultations, for up to 6 appointments. Interviews and consultations were audio-recorded and observational field notes taken. Data were analysed thematically.
resultsForty-six interviews and 18 consultations were observed, with 11 patients and nine health-care practitioners (five GPs, one pharmacist and three nurses). Little shared decision making was described by participants or observed. Often patients' understanding of their hypertension was limited, and they were not aware there were treatment choices. Consultations provided few opportunities for patients and clinicians to reach a shared understanding of their treatment choices. Opportunities for patients to engage in choices were limited by structured consultations and the distribution of decisions across consultations.
conclusionFor shared decision making to be better supported, consultations need to provide opportunities for patients to learn about their condition, to understand that there are treatment choices, and to discuss these choices with clinicians. PATIENT OR PUBLIC CONTRIBUTION: A patient group contributed to the design of this study.
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