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Physician attitudes toward shared decision making: A systematic review.
Samantha Pollard1, Nick Bansback2, Stirling Bryan1
1School of Population and Public Health, University of British Columbia, Vancouver, Canada; Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Research Institute, Vancouver, Canada.
Patient Education and Counseling
|July 4, 2015
Summary
Physicians generally support shared decision-making (SDM) in clinical practice, but its adoption is limited. Further evidence on SDM
Area of Science:
- Medical Practice
- Health Services Research
- Patient-Centered Care
Background:
- Shared decision-making (SDM) is linked to improved patient outcomes, yet its implementation in clinical settings remains limited.
- Understanding physician perspectives is crucial for enhancing SDM adoption and effectiveness.
Purpose of the Study:
- To review physicians' reported opinions on using SDM in clinical practice.
- To identify strategies that can promote the uptake of SDM.
Main Methods:
- A systematic review of studies published between 2007 and 2014 was conducted.
- Analysis included 43 papers, with studies categorized by care setting (primary, secondary, or both).
Main Results:
- Physicians generally hold positive attitudes towards SDM.
- The level of physician support for SDM varies depending on the clinical scenario, specific treatment decisions, and patient characteristics.
Conclusions:
- Physician support is essential for successful SDM implementation.
- Establishing robust empirical evidence on SDM's impact on clinically and patient-important outcomes is necessary to foster greater support.
- Future research should focus on SDM's impact in chronic disease management, where long-term outcome measurement is feasible.
