Family medicine residents' perspectives on shared decision-making: A mixed methods study.

Autor: Sandhu A; Department of Family Medicine, McGill University, Montréal, Canada; Mila-Quebec AI Institute, Montreal, Canada. Electronic address: amrita.sandhu@mail.mcgill.ca., Grad R; Department of Family Medicine, McGill University, Montréal, Canada; Lady Davis Institute for Medical Research, Montreal, Canada., Bousbiat I; Department of Family Medicine, McGill University, Montréal, Canada; Mila-Quebec AI Institute, Montreal, Canada., Issa AM; Department of Family Medicine, McGill University, Montréal, Canada; Personalized Precision Medicine and Targeted Therapeutics Institute, Springfield, PA, USA., Abbasgolizadeh-Rahimi S; Department of Family Medicine, McGill University, Montréal, Canada; Lady Davis Institute for Medical Research, Montreal, Canada; Mila-Quebec AI Institute, Montreal, Canada., D'Souza V; Department of Family Medicine, McGill University, Montréal, Canada., Elwyn G; The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Hanover, NH, USA.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2024 Nov; Vol. 128, pp. 108373. Date of Electronic Publication: 2024 Jul 14.
DOI: 10.1016/j.pec.2024.108373
Abstrakt: Objectives: To 1) examine the willingness of residents to undertake shared decision-making and 2) explore whether the willingness to engage in shared decision-making is influenced by the perceived stakes of a clinical situation.
Methods: Sequential mixed methods design. Phase One: Family Medicine residents completed IncorpoRATE, a seven-item measure of clinician willingness to engage in shared decision making. Mean IncorpoRATE scores were calculated. Phase Two: We interviewed residents from phase one to explore their perceptions of high versus low stakes situations. Transcripts were analyzed using qualitative content analysis.
Results: IncorpoRATE scores indicated a greater willingness to engage in shared decision-making when the stakes of the decision were perceived as low (7.59 [2.0]) compared to high (4.38 [2.5]). Interviews revealed that residents held variable views of the stakes of similar clinical decisions.
Conclusion: Residents are more willing to engage in shared decision-making when the stakes of the situation are perceived to be low. However, the interpretation of the stakes of clinical situations varies.
Practical Implications: Further research is needed to explore how shared decision making is understood by residents in Family Medicine and when they view the process of shared decision-making to be most appropriate.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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