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Integrating Shared Decision Making and Decision Support Tools into Clinical Practice Guidelines: What Does It Take? A
Lena Fischer1,2, Rahel Wollny1, Leon V Schewe3
1Institute for Health Services and Health System Research, Faculty of Health Sciences Brandenburg, Brandenburg Medical School (Theodor Fontane), Rüdersdorf, Germany.
Integrating shared decision making (SDM) into clinical practice guidelines (CPGs) requires identifying patient-preferred options and involving patient partners. Overcoming resource limitations and fostering a supportive culture are key for successful SDM implementation in healthcare.
Area of Science:
- Health Services Research
- Patient-Centered Care
Background:
- Shared decision making (SDM) integration into clinical practice guidelines (CPGs) faces challenges.
- Expert insights are needed to improve SDM and decision support tool incorporation into CPGs.
Purpose of the Study:
- Identify CPG recommendations suitable for SDM.
- Determine factors hindering or facilitating SDM and decision support tool development within CPGs.
Main Methods:
- Conducted semi-structured interviews with 16 experts in CPGs and SDM.
- Analyzed interview data using Mayring's qualitative content analysis.
Main Results:
- SDM is most relevant for recommendations involving multiple options with varying benefits/harms, dependent on patient preferences.
- Prioritization, similar to CPG scoping, is a key strategy for identifying SDM-relevant recommendations.
- Patient partners are crucial, but a supportive culture and adequate resources are necessary; current CPG formats are overwhelming.
Conclusions:
- Identified strategies offer a foundation for CPG organizations to integrate SDM and decision support tools.
- Addressing context-specific barriers and facilitators is essential for successful integration.
- Further research, policy changes, and collaboration are needed to overcome implementation challenges.
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