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Shared decision making between registrars and patients : web based decision aids

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Thistlethwaite, Jill, Heal, Clare, Nan Tie, Rod and Evans, Rebecca. (2007) Shared decision making between registrars and patients : web based decision aids. Australian Family Physician, Vol.36 . pp. 670-672. ISSN 0300-8495

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Official URL: http://www.racgp.org.au/afp

Abstract

BACKGROUND: Current evidence suggests that doctors do not always involve patients in decisions; this may be due to lack of training. This study explores the feasibility of using web based decision aids (DAs) to improve the skills of general practice registrars in sharing decisions with patients. METHOD: Interviews were conducted with registrars to explore their attitudes to shared decision making. Following an educational intervention, registrars were asked to adopt shared decision making within their consultations using DAs as appropriate. The registrars were interviewed again to explore their experiences and any barriers to the process. RESULTS: Registrars had positive views about the shared decision making process but required more training. They had mixed opinions about the use of DAs and identified several barriers to their use. They felt that they had learned from the project and process without necessarily wanting to pursue the use of DAs as interactive tools, preferring to use them as educational resources.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Physician and patient, Decision making, Patient education
Journal or Publication Title: Australian Family Physician
Publisher: Royal Australian College of General Practitioners
ISSN: 0300-8495
Date: August 2007
Volume: Vol.36
Page Range: pp. 670-672
Status: Peer Reviewed
Access rights to Published version: Open Access
References: 1. Stewart M, Brown JB, Weston WW, McWhinney IR, McWilliam CL, Freeman TR. Patient centered medicine: transforming the clinical method. California: Sage, 1995. 2. Thistlethwaite JE, Evans R, Nan Tie R, Heal C. Shared decision making and decision aids: a literature review. Aust Fam Physician 2006;35:537–40. 3. O’Connor AM, Stacey D, Entwistle V, et al. Decision aids for people facing health treatment or screening decisions. BMJ 1999;319:731–4. 4. Blendon RJ, Schoen C, DesRoches C, Osborn R, Zapert K. Common concerns amid diverse systems: health care experiences in five countries. Health Aff 2003;22:106–21. 5. Strauss A, Corbin J. Basics of qualitative research. London: Sage, 1998. 6. Brodky H. Stories of sickness. New Haven: Yale University Press, 1987. 7. Thistlethwaite JE. Making and sharing decisions about management with patients: the views and experiences of pre-registration house officers in general practice and hospital. Med Educ 2002;36:49–55 8. Mazur DJ. Influence of the law on risk and informed consent. BMJ 2003;327:731–4. 9. Van Dam HA, van der Horst F, van den Borne B, Ryckman R, Crebolder H. Provider-patient interaction in diabetes care: effects on patient self care and outcomes. Patient Educ Couns 2003;51:17–28. 10. Hannon FB. A national medical education needs’ assessment of interns and the development of an intern education and training programme. Med Educ 2000;34:275–84. 11. Elwyn G, Edwards A, Gwyn R, Grol R. Towards a feasible model of shared decision making: focus group study with general practice registrars. BMJ 1999;319:753–6. 12. Thistlethwaite JE, van der Vleuten C. Informed shared decision making: views and competencies of pre-registration house officers in hospital and general practice. Education for Primary Care 2004;15:83–92.
URI: http://wrap.warwick.ac.uk/id/eprint/456

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