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Related Experiment Video

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Shared decision-making with patients with complex care needs: a scoping review.

M E Perron1,2,3, C Hudon4,5, P H Roux-Levy4,6,7

  • 1Department of Family Medicine and Emergency Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada. Marie-Eve.Perron5@USherbrooke.ca.

BMC Primary Care
|November 5, 2024
PubMed
Summary

Shared decision-making (SDM) for patients with complex care needs (PCCNs) requires recognizing unique factors. This involves addressing multiple simultaneous decisions and the interdisciplinary nature of their care to ensure positive health outcomes.

Keywords:
Complex care needsInterdisciplinaryPatient-centered carePrimary careScoping reviewShared decision-making

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Area of Science:

  • Healthcare research
  • Patient-centered care
  • Decision science

Background:

  • Patients with complex care needs (PCCNs) face challenges due to multimorbidity, mental health issues, and social vulnerability.
  • These factors significantly impact healthcare and health service decisions.
  • Shared decision-making (SDM) enhances decision quality but presents unique challenges for PCCNs.

Purpose of the Study:

  • To identify specificities of shared decision-making (SDM) with patients with complex care needs (PCCNs).

Main Methods:

  • Scoping review utilizing Joanna Briggs Institute (JBI) methodology.
  • Systematic search of MEDLINE, CINAHL, PsycINFO, and Academic Search Complete (1997-2023).
  • Mixed thematic analysis (deductive and inductive) with expert consultation.

Main Results:

  • Twelve studies were included.
  • Key specificities include managing simultaneous multiple decisions.
  • Recognized the multidisciplinary and intersectoral nature of PCCN care.

Conclusions:

  • SDM for PCCNs has distinct characteristics that require consideration.
  • Addressing these specificities is crucial for maintaining SDM benefits.
  • Ensures positive health and decision-making outcomes for PCCNs.