Related Experiment Video
Updated: Jul 8, 2026
06:28
E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Professional centred shared decision making: patient decision aids in practice in primary care
Duika Burges Watson1, Richard G Thomson, Madeleine J Murtagh
1Institute of Health and Society, Newcastle University, 21 Claremont Place, Newcastle upon Tyne NE2 4AA, UK. duika.burges-watson@ncl.ac.uk
BMC Health Services Research
|January 15, 2008
Summary
Patient decision aids support shared decision making (SDM), but implementation in primary care faces barriers. Rethinking practice changes is crucial for effective SDM integration.
Area of Science:
- Health Services Research
- Primary Care Medicine
- Shared Decision Making
Background:
- Patient decision aids are vital for shared decision making (SDM) and evidence-based patient choice.
- Despite recognized value, successful implementation of decision aids in primary care is limited.
Purpose of the Study:
- To explore healthcare practitioners' perspectives on patient decision aids and SDM in primary care.
- To identify barriers and facilitators to implementing SDM in general practice.
Main Methods:
- Focus groups were conducted with 27 healthcare practitioners (GPs, practice nurses, auxiliary staff) from five general practices.
- Transcripts were analyzed using a framework approach to understand themes related to decision aids and SDM.
Main Results:
- Practitioners discussed the drive towards shared decisions and identified barriers to SDM.
- Impediments to implementing patient decision aids included lack of evidence base and consultation time constraints.
Conclusions:
- Two orientations to decision sharing exist: practitioner-centered (predominant) and patient-centered.
- Rethinking practice changes is necessary for successful implementation of SDM.
Related Concept Videos
01:13Patient-centered Care
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
01:30Ethical Dilemmas II
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:30Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:19Standards of Care II
Nurses bear specific legal responsibilities under several federal statutes, including:
01:27Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...