Older patients and their GPs: shared decision making in enhancing trust

Abstract

BackgroundOlder patients differ from younger patients in their perceptions of trust in doctors; their sense of shared decision making is particularly associated with their trust in the GP. Enhancing trust and improving shared decision making are thought to have positive health outcomes. Older patients are sometimes reported as being less frequently involved in decisions about their health care, however, and in having more unmet healthcare needs than younger patients. AimThis study explored older patients' trust in their GPs and their perceptions of shared decision making. Design and settingQualitative methods were used. Systematic sampling identified 20 participants, aged ≥65 years, from three GP surgeries in Devon, UK.

Trust in dentist‐patient relationships: mapping the relevant concepts

“…Among other models, shared decision making has been advocated for patient‐centred care over the traditional paternalistic or authoritative models (54). Over the whole process of decision making, trust in the relationship is closely associated with shared decision making (55) whether as a promoter (52) or an outcome (56).…”

Content and distribution of discursive space in consultations between patients with atrial fibrillation and healthcare professionals

“…Furthermore, for the patients involvement also appears to be created in terms of the importance of inter-professional collaboration between nurses and physicians during and in between consultations. Edwards and Elwyn (2006) and Butterworth and Campbell (2014) found that decisional responsibility did not align with patient preferences at that stage of a consultation. In contrast, patients with cancer show increased interested in SDM (Ernst et al, 2013).…”

Older multimorbid patients’ experiences on integration of services: A systematic review

“…Characteristics of the selected studies [21][22][23][24][25][26][27][28][29] are presented in Table 1.…”

“…We found through the synthesis that the older multimorbid patients felt that the level of integration of services and coordination between health care providers was a success when they experienced being involved in the decision process and they felt listened to, and acknowledged for their awareness, about their own needs [23,24,26]. The patients who had been involved in the decisions process felt more trust in their health care provider [24]. When the multimorbid patients expressed that they had not being involved in the decision process regarding their own care [25], integrations of services were unsuccessful and it made them feel less trust towards their health care providers [21].…”