Document Detail

General practitioners' views on shared decision making: a qualitative analysis.
MedLine Citation:
PMID:  12900102     Owner:  NLM     Status:  MEDLINE    
Despite rhetoric about increasing partnership in the consultation, shared decision making (SDM) is not necessarily happening in practice. As patient involvement in decision making cannot be achieved without general practitioners' (GPs) co-operation, attention to their concerns is essential. Previous research has used simulated patients to explore this area. Here, data from consultations and interviews with patients and GPs were used in focus group discussions enabling GPs to ground their views of the practical application of SDM in their own and other participants' real life practice. The following ideas were discussed; what constitutes SDM in practice, negotiation about treatment, perceptions of patients' viewpoints and perceived barriers to SDM. Agreement with SDM in theory may not translate into practice. The process outlined is being developed in order to establish whether the techniques could provide a supportive environment in which GPs can make changes to their practice to increase patient participation.
Fiona A Stevenson
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Patient education and counseling     Volume:  50     ISSN:  0738-3991     ISO Abbreviation:  Patient Educ Couns     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-08-05     Completed Date:  2003-12-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  291-3     Citation Subset:  N    
Department of General Practice and Primary Care, Guy's, King's, and St Thomas' School of Medicine, Kings College, London, UK.
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MeSH Terms
Attitude of Health Personnel*
Cooperative Behavior*
Decision Making*
Patient Participation*
Physician-Patient Relations*
Primary Health Care*

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