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Related Experiment Videos

General practitioners' views on shared decision making: a qualitative analysis.

Fiona A Stevenson1

  • 1Department of General Practice and Primary Care, Guy's, King's, and St Thomas' School of Medicine, Kings College, London, UK. f.stevenson@pcps.ucl.ac.uk

Patient Education and Counseling
|August 6, 2003
PubMed
Summary

Shared decision making (SDM) is often not practiced despite its importance. General practitioners (GPs) need support to overcome barriers and integrate patient involvement into consultations effectively.

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Area of Science:

  • General Practice
  • Healthcare Communication
  • Patient Engagement

Background:

  • Shared decision making (SDM) is advocated to enhance patient partnership in consultations.
  • However, the practical implementation of SDM faces challenges, particularly concerning general practitioners' (GPs) perspectives and cooperation.
  • Previous research often relied on simulated patients, limiting insights into real-world practice.

Purpose of the Study:

  • To explore general practitioners' (GPs) views on the practical application of shared decision making (SDM).
  • To identify perceived barriers and facilitators to implementing SDM in routine consultations.
  • To ground discussions on SDM in the real-life experiences of GPs and patients.

Main Methods:

  • Utilized focus group discussions involving GPs and patients.

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  • Incorporated data from actual consultations and interviews with patients and GPs.
  • Facilitated discussions on the definition of SDM, treatment negotiation, patient viewpoints, and barriers.

    • Main Results:

    • Agreement with SDM in principle does not guarantee its practice.
    • GPs' perspectives are crucial for understanding the gap between SDM theory and practice.
    • Focus groups provided a platform for GPs to reflect on their practice and patient interactions.

    Conclusions:

    • Translating the theory of SDM into practice requires addressing GPs' concerns and perceived barriers.
    • The developed process aims to create a supportive environment for GPs to enhance patient participation.
    • Further development is needed to establish effective techniques for increasing patient involvement in decision-making.