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Decision Aid Use in Primary Care: An Overview and Theory-Based Framework
Cameron G Shultz1, Masahito Jimbo
1Department of Family Medicine, University of Michigan.
The ready, willing, and able model helps identify barriers to patient decision aid use in primary care. Addressing issues like time and clinic capacity can improve sustained use and patient participation.
Area of Science:
- Health Services Research
- Patient Engagement
- Primary Care Interventions
Background:
- Increasing patient participation in healthcare is a key objective.
- Patient decision aids can enhance engagement but are underutilized.
- Theory-based models are needed to understand sustained decision aid use.
Purpose of the Study:
- To analyze the uptake of patient decision aids in primary care.
- To apply the ready, willing, and able model to identify barriers and facilitators.
- To inform strategies for improving decision aid utilization.
Main Methods:
- Literature search of Ovid Medline (2004-2014) and reference lists.
- Identification and thematic grouping of barriers and facilitators to decision aid use.
Main Results:
- The ready, willing, and able model effectively framed barriers and facilitators.
- Prominent barriers included time constraints, perceived legitimacy, clinic capacity, care processes, and the healthcare environment.
Conclusions:
- The ready, willing, and able model highlights preconditions for sustained patient decision aid use.
- Identifying bottlenecks can guide policy and interventions to improve uptake.
- Proactive troubleshooting using this model can enhance decision aid implementation in primary care.
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