Towards a feasible model for shared decision making : focus group study with general practice registrars.
Objectives To explore the views of general practice registrars about involving patients in decisions and to assess the feasibility of using the shared decision making model by means of simulated general practice consultations.
Design Qualitative study based on focus group interviews.
Setting General practice vocational training schemes in south Wales.
Participants 39 general practice registrars and eight course organisers (acting as observers) attended four sessions ; three simulated patients attended each time.
Method After an introduction to the principles and suggested stages of shared decision making the registrars conducted and observed a series of consultations about choices of treatment with simulated patients using verbal, numerical, and graphical data formats.
Reactions were elicited by using focus group interviews after each consultation and content analysis undertaken.
Results Registrars in general practice report not being trained in the skills required to involve patients in clinical decisions.
They had a wide range of opinions about « involving patients in decisions, » ranging from protective paternalism ( « doctor knows best »), through enlightened self interest (lightening the load), to the potential rewards of a more egalitarian relationship with patients. (...)
Mots-clés Pascal : Royaume Uni, Europe, Epidémiologie, Homme, Santé, Consultation, Médecine générale, Aide décision, Information, Risque, Bénéfice, Traitement, Prise participation
Mots-clés Pascal anglais : United Kingdom, Europe, Epidemiology, Human, Health, Consultation, Internal medicine, Decision aid, Information, Risk, Profit, Treatment, Share taking
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0471613
Code Inist : 002B30A01A2. Création : 22/03/2000.