ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2022
Shared decision making between older people with multimorbidity and GPs: a qualitative study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Self-care needs in an aged population living with a chronic condition or multimorbidity: a systematic review.BMC geriatrics · 2026Pooled it
- Decision aids for the care of patients with multimorbidity: a systematic review.BMC primary care · 2025Pooled it
- How do primary care clinicians approach hospital admission decisions for people in the final year of life? A systematic review and narrative synthesis.Palliative medicine · 2024Pooled it
- Pooled it
- The State of Shared Decision-Making in Immune Thrombocytopenia: A Narrative Review and Health Care Provider Perspective.Health science reports · 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
- Patient Perceptions of Artificial Intelligence-Supported Shared Decision-Making in UK Primary Care for Multiple Long-Term Conditions: Qualitative Study.Journal of medical Internet research · 2026Article
- Multi-professional primary healthcare centres: psychometric testing of a new quality-of-care instrument.Journal of patient-reported outcomes · 2026Article
- Experiences of medication burden among patients with multimorbidity in rural China: a qualitative study.Frontiers in medicine · 2026Article
- 'A return on investment'. How shared decision-making benefits doctors: a key informant interview study.BMJ open · 2025Article
- Shared Decision-Making in Medications for Elderly Patients with Multi-Morbidities: A Phenomenological Study.Patient preference and adherence · 2025Article
- Article
- Shared decision-making endorses intention to follow through treatment or vaccination recommendations: a multi-method survey study among older adults.BMC medical informatics and decision making · 2024Article
- A Grounded Theory of Interdisciplinary Communication and Collaboration in the Outpatient Setting of the Hospital for Patients with Multiple Long-Term Conditions.Journal of personalized medicine · 2024Article
- Continuity of care and effective clinical experience overcoming medicolegal vulnerability.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Comprehensive Management of Vasculitis and Suspected Polyarteritis Nodosa in an Older Patient.Cureus · 2023Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundShared decision making (SDM), utilising the expertise of both patient and clinician, is a key feature of good-quality patient care. Multimorbidity can complicate SDM, yet few studies have explored this dynamic for older patients with multimorbidity in general practice.
aimTo explore factors influencing SDM from the perspectives of older patients with multimorbidity and GPs, to inform improvements in personalised care. DESIGN AND
settingQualitative study. General practices (rural and urban) in Devon, England.
methodFour focus groups: two with patients (aged ≥65 years with multimorbidity) and two with GPs. Data were coded inductively by applying thematic analysis.
resultsPatient acknowledgement of clinician medicolegal vulnerability in the context of multimorbidity, and their recognition of this as a barrier to SDM, is a new finding. Medicolegal vulnerability was a unifying theme for other reported barriers to SDM. These included expectations for GPs to follow clinical guidelines, challenges encountered in applying guidelines and in communicating clinical uncertainty, and limited clinician self-efficacy for SDM. Increasing consultation duration and improving continuity were viewed as facilitators.
conclusionClinician perceptions of medicolegal vulnerability are recognised by both patients and GPs as a barrier to SDM and should be addressed to optimise delivery of personalised care. Greater awareness of multimorbidity guidelines is needed. Educating clinicians in the communication of uncertainty should be a core component of SDM training. The incorrect perception that most clinicians already effectively facilitate SDM should be addressed to improve the uptake of personalised care interventions.
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