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Shared decision-making in general practice: an observational study comparing 2007 with 2015.

Maartje C Meijers1, Janneke Noordman1,2, Peter Spreeuwenberg1

  • 1NIVEL (Netherlands Institute for Health Services Research), Utrecht, The Netherlands.

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Summary
This summary is machine-generated.

Shared decision-making (SDM) increased among Dutch GPs from 2007-2015, but application is lower with older patients. Further improvements in SDM are needed, especially for elderly care.

Keywords:
Communicationdecision-makinggeneral practiceobservational studypatient involvementvideo-recording

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Area of Science:

  • Primary Care Research
  • Health Services Research
  • Patient-Centered Care

Background:

  • Shared decision-making (SDM) is widely accepted as the ideal model for healthcare decisions.
  • However, research on SDM implementation in primary care settings remains limited.

Purpose of the Study:

  • To examine the extent of SDM application by Dutch General Practitioners (GPs).
  • To assess changes in SDM application between 2007 and 2015.
  • To identify factors associated with SDM use in primary care.

Main Methods:

  • Analysis of video-recorded consultations from Dutch GPs in 2007 (n=50) and 2015 (n=50).
  • Assessment of SDM using the OPTION instrument, measuring patient involvement in decision-making.
  • Multilevel analysis to identify determinants of SDM, including patient and GP characteristics and consultation details.

Main Results:

  • SDM application by GPs significantly increased from 2007 to 2015.
  • A notable finding was less SDM application in consultations involving older patients.
  • Factors such as consultation duration and type of decision were analyzed for their association with SDM.

Conclusions:

  • Despite an increase, overall SDM scores indicate a need for enhanced application by GPs.
  • GPs should proactively inquire about patients' preferred roles in decision-making.
  • Particular attention is needed to improve SDM in consultations with elderly patients.