Views of general practice staff about the use of a patient-oriented treatment decision aid in shared decision making for patients with type 2 diabetes

Autor: Anita T. Wildeboer, Petra Denig, Flora M. Haaijer-Ruskamp, Jan Schuling, Esther du Pon
Přispěvatelé: Methods in Medicines evaluation & Outcomes research (M2O), Real World Studies in PharmacoEpidemiology, -Genetics, -Economics and -Therapy (PEGET)
Jazyk: angličtina
Rok vydání: 2018
Předmět:
PERCEPTIONS
patient-centered care
PREFERENCES
Paternalism
law.invention
patient‐centered care
0302 clinical medicine
PHYSICIANS
Randomized controlled trial
law
FACILITATORS
Decision aids
Medicine
030212 general & internal medicine
Netherlands
media_common
030503 health policy & services
PRIMARY-CARE
RANDOMIZED CONTROLLED-TRIAL
Original Research Paper
0305 other medical science
diabetes mellitus type 2
Health Personnel
media_common.quotation_subject
Decision Making
shared decision making
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
Decision Support Techniques
Interviews as Topic
03 medical and health sciences
Patient Education as Topic
Nursing
Perception
MANAGEMENT
Humans
Conversation
METAANALYSIS
business.industry
Public Health
Environmental and Occupational Health
TREATMENT GOALS
primary health care
Diabetes Mellitus
Type 2
ENCOUNTERS
Content analysis
decision aids
Facilitator
business
Original Research Papers
qualitative research
Qualitative research
Zdroj: Health Expectations : An International Journal of Public Participation in Health Care and Health Policy
Health Expectations, 21, 64-74
Health Expectations, 21(1), 64-74. Wiley
Health Expectations, 21, 1, pp. 64-74
ISSN: 1369-6513
Popis: Contains fulltext : 191361.pdf (Publisher’s version ) (Open Access) BACKGROUND: Decision aids can be used to support shared decision making (SDM). A patient-oriented treatment decision aid (DA) was developed for type 2 diabetes but its use by general practice staff appeared to be limited. OBJECTIVES: To explore views of practice staff towards SDM and the DA. DESIGN: A mixed-methods study within the Dutch PORTDA-diab trial. SETTING AND PARTICIPANTS: Included were 17 practices with staff members who were responsible for routine diabetes care and had worked with the DA, and 209 of their patients. METHODS: Interviews were conducted focusing on applicability, usefulness and feasibility of the DA. Interviews were tape-recorded, transcribed verbatim and subjected to content analysis for identifying and classifying views. Patient-reported data about the use of the DA were collected. Associations between specific views and use of the DA were tested using Pearson point-biserial correlation. RESULTS: The majority of practice staff expressed positive views towards SDM, which was associated with making more use of the DA. Most of the staff expressed that the DA stimulated a two-way conversation. By using the DA, several became aware of their paternalistic approach. Some staff experienced a conflict with the content of the DA, which was associated with making less use of the DA. CONCLUSIONS: The DA was considered useful by practice staff to support SDM. A positive view towards SDM was a facilitator, whereas experiencing a conflict with the content of the DA was a barrier for making use of the DA.
Databáze: OpenAIRE
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