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Shared decision making in rheumatology: A scoping review.
Tessalyn Morrison1, Erin Foster2, Jacob Dougherty3
1School of Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, USA.
Seminars in Arthritis and Rheumatism
|June 23, 2022
Summary
Shared decision making in rheumatology enhances patient satisfaction and treatment adherence. Further research is needed to develop tools and address social factors for equitable patient-clinician collaboration.
Area of Science:
- Rheumatology
- Health Services Research
- Patient-Centered Care
Background:
- Shared decision making (SDM) is a collaborative process between patients and clinicians.
- While beneficial, SDM use in rheumatology is not well-described.
Purpose of the Study:
- To conduct a scoping review of research on SDM in rheumatology.
- To identify existing patient decision aids and factors influencing SDM in rheumatology.
Main Methods:
- A comprehensive literature search was performed across multiple databases (Ovid MEDLINE, PsycINFO, Scopus, etc.).
- 63 studies were included after screening 3191 articles.
Main Results:
- SDM in rheumatology improves patient satisfaction and treatment adherence.
- 13 patient decision aids were identified; key decision factors include benefits, side effects, cost, and logistics.
- SDM is influenced by patient demographics and affected by barriers like time constraints and lack of training.
Conclusions:
- 63 studies and 13 patient decision aids highlight the importance of SDM in rheumatology.
- Future research should focus on developing SDM tools, understanding socio-cultural influences, and promoting equity.
- Improving SDM practices can enhance patient experience, satisfaction, trust, and overall outcomes.
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