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Updated: Mar 6, 2026

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
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[A model for shared decision-making with frail older patients: consensus reached using Delphi technique].

M H J van de Pol1, C R M G Fluit, J Lagro

  • 1*Dit onderzoek werd eerder gepubliceerd in Patient Education and Counselling (2016;99:1069-77) met als titel 'Expert and patient consensus on a dynamic model for shared decision-making in frail older patients'. Afgedrukt met toestemming.

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Summary

A new dynamic model for shared decision-making was developed for frail older patients. This model emphasizes continuous dialogue between patients and healthcare professionals for improved care.

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Area of Science:

  • Gerontology
  • Healthcare Management
  • Patient-Centered Care

Context:

  • Frail older patients often face complex health decisions.
  • Effective shared decision-making (SDM) is crucial for this population.
  • Existing models may not fully address the dynamic needs of older adults.

Purpose:

  • To develop and validate a dynamic model for shared decision-making (SDM) tailored to frail older patients.
  • To achieve consensus on the importance and feasibility of the proposed SDM model.

Summary:

  • A three-round Delphi technique involving 16 patients and 59 healthcare professionals was employed.
  • The study focused on identifying key steps and refining a draft SDM model.
  • Consensus was reached on the dynamic SDM model's importance (91%) and feasibility (76%).

Impact:

  • The developed dynamic SDM model can enhance communication and collaboration in geriatric care.
  • It promotes a continuous, supportive dialogue essential for older patients' healthcare journeys.
  • This model has the potential to improve patient outcomes and satisfaction in geriatric settings.