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Area of Science:

  • General Practice
  • Healthcare Decision Making
  • Digital Health

Background:

  • Shared decision making (SDM) involves GPs and patients collaborating on healthcare choices using evidence.
  • Social prescribing (SP) connects patients with community resources for well-being.
  • The integration of virtual care necessitates examining SDM and SP facilitation.

Purpose of the Study:

  • To evaluate the level of SDM during GP consultations involving SP.
  • To explore the potential of virtual care to support SDM in SP contexts.

Main Methods:

  • A retrospective observational study analyzed 65 recorded GP consultations in southwest England.
  • Consultation transcripts were assessed using the OPTION^12 scale for patient involvement in decision making.

Main Results:

  • The average OPTION^12 score across all consultations was 47.90, indicating moderate SDM.
  • GPs excelled at identifying problems but were less effective at explaining pros and cons.
  • SDM scores were similar for physical (45.83) and mental health (50.10) consultations involving SP.

Conclusions:

  • SDM levels in GP consultations for SP did not differ between physical and mental health cases.
  • Further investigation is needed to understand how virtual care can enhance SDM in SP.