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Related Experiment Videos

Clinical decision-making: physicians' preferences and experiences.

Elizabeth Murray1, Lance Pollack, Martha White

  • 1Department of Primary Care and Population Sciences, Royal Free and University College Medical School at University College London, Archway Campus, Highgate Hill, London N19 5LW, UK. elizabeth.murray@pcps.ucl.ac.uk

BMC Family Practice
|March 17, 2007
PubMed
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Most physicians prefer shared decision-making and perceive themselves as practicing it. Interventions promoting shared decision-making should involve physicians, not just patients.

Area of Science:

  • Medical Practice
  • Health Services Research
  • Physician Behavior

Background:

  • Shared decision-making (SDM) is advocated, but physician preferences and experiences are understudied.
  • Most research focuses on patient preferences in clinical decision-making.
  • Understanding physician perspectives is crucial for effective SDM implementation.

Purpose of the Study:

  • Determine physician preferences for clinical decision-making styles.
  • Assess physicians' perceived practice of decision-making styles.
  • Evaluate congruence between preferred and perceived styles.
  • Examine physician views on time availability and patient information seeking.

Main Methods:

  • Cross-sectional survey design.

Related Experiment Videos

  • Nationally representative sample of U.S. physicians.
  • Analysis of physician preferences, perceived practice, and related factors.

    • Main Results:

    • 75% of physicians preferred shared decision-making; 14% preferred paternalism; 11% preferred consumerism.
    • 87% of physicians perceived themselves as practicing their preferred style.
    • Physicians favoring active patient roles reported more time and encouraged patient information seeking.

    Conclusions:

    • Physicians generally perceive their practice aligned with their preferred decision-making style.
    • Interventions to promote SDM should include physician-focused strategies.
    • Further research is needed to infer causality between perceived and preferred styles.