ArticleJournal of general internal medicine2022
Shared Decision-making in Different Types of Decisions in Medical Specialist Consultations.
Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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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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Who cites it
6 citing papers in PubMed.
- Effect of a patient decision aid on shared decision making in patients with differentiated thyroid cancer: a randomized controlled trial.The oncologist · 2026Trial
- Article
- Shared Decision-Making Supported by Outcome Information During Discharge Planning of Patients Hospitalized With Stroke.Neurology. Clinical practice · 2026Article
- Observational
- Metro Mapping: development of an innovative methodology to co-design care paths to support shared decision making in oncology.BMJ evidence-based medicine · 2023Article
- Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundsResearch on shared decision-making (SDM) has mainly focused on decisions about treatment (e.g., medication or surgical procedures). Little is known about the decision-making process for the numerous other decisions in consultations.
objectivesWe assessed to what extent patients are actively involved in different decision types in medical specialist consultations and to what extent this was affected by medical specialist, patient, and consultation characteristics.
designAnalysis of video-recorded encounters between medical specialists and patients at a large teaching hospital in the Netherlands.
participantsForty-one medical specialists (28 male) from 18 specialties, and 781 patients. MAIN MEASURE: Two independent raters classified decisions in the consultations in decision type (main or other) and decision category (diagnostic tests, treatment, follow-up, or other advice) and assessed the decision-making behavior for each decision using the Observing Patient Involvement (OPTION) KEY
resultIn the 727 consultations, the mean (SD) OPTION
conclusionMost of the limited patient involvement was observed in main decisions (versus others) and in treatment decisions (versus diagnostic, follow-up, and advice). SDM was associated with longer consultations. Physicians' SDM training should help clinicians to tailor promotion of patient involvement in different types of decisions. Physicians and policy makers should allow sufficient consultation time to support the application of SDM in clinical practice.
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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.