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Qualitative study on shared decision making in cystitis management in general practice.

Tessa Mzxk van Horrik1, Annelies Colliers2, Marco H Blanker3

  • 1Department of Internal Medicine-Infectious Diseases, Amsterdam UMC, University of Amsterdam, Amsterdam Institute for Infection and Immunity, Amsterdam Public Health, Amsterdam, The Netherlands t.m.vanhorrik@amsterdamumc.nl.

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Summary
This summary is machine-generated.

Shared decision making (SDM) for cystitis management is underused in general practice due to perceived inefficiency and lack of patient awareness. However, both patients and healthcare professionals recognize its long-term benefits for reduced antibiotic use and improved empowerment.

Keywords:
cystitisdecision making, sharedgeneral practiceprimary care nursingprimary health carequalitative researchurinary tract infections

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Area of Science:

  • General Practice
  • Urology
  • Shared Decision Making

Background:

  • Cystitis management often relies on antibiotics, but non-antibiotic options exist for healthy, non-pregnant women.
  • Shared decision making (SDM) is underutilized in general practice for cystitis treatment.
  • Exploring barriers and facilitators for SDM in cystitis management is crucial.

Purpose of the Study:

  • To identify barriers and facilitators for applying SDM in cystitis management within general practice.
  • To understand the perspectives of healthcare professionals and patients on SDM in cystitis care.

Main Methods:

  • Qualitative explorative research conducted in general practice.
  • Individual semi-structured interviews with 10 GPs, 7 GP assistants, and 15 patients with a history of cystitis.
  • Thematic and framework analysis applied to interview data.

Main Results:

  • Key barriers include perceived inefficiency of SDM, healthcare professional assumptions about patient preferences for antibiotics, and patient unawareness of non-antibiotic options.
  • A key facilitator is the recognition of SDM benefits, such as reduced antibiotic use and enhanced patient empowerment.
  • Patient and healthcare professional preferences for SDM application vary.

Conclusions:

  • SDM is infrequently applied in cystitis treatment due to efficiency focus, healthcare professional perceptions, and patient unawareness.
  • Both healthcare professionals and patients acknowledge the long-term advantages of SDM in cystitis management.
  • Interventions to increase SDM application should be co-created with stakeholders and integrated into current practice.