Shared decision-making and the duration of medical consultations: A systematic review and meta-analysis

Veenendaal, Haske van; Chernova, Genya; Bouman, Carlijn MB; Etten-Jamaludin, Faridi S. van; Ubbink, Dirk T.

doi:10.1016/j.pec.2022.11.003

Cited by 21 publications

(6 citation statements)

References 104 publications

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“…Although training on SDM and adaptation of working processes to incorporate SDM into practice might take more time initially, research has shown that thoughtfully implemented and theory-based multilevel approaches can positively impact SDM implementation without increasing consultation duration. 37 The language barriers this study's participants reported could be due to the multinational setting at Aspetar. Still, they could also be a barrier in other athlete healthcare settings, especially in elite athlete health care where international players and healthcare providers are common.…”

Section: Discussionmentioning

confidence: 98%

Shared decision-making with athletes: a survey study of healthcare professionals’ perspectives

Nelis,

Dijkstra,

Damman

et al. 2024

BMJ Open Sport Exerc Med

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ObjectivesShared decision-making (SDM) is a trending topic in athlete health care; however, little is known about its use in a sports context. This study aimed to measure knowledge and self-perceived practice of SDM among healthcare professionals working with athletes. This study evaluates SDM attitudes and preferences and explores how healthcare professionals perceive the factors influencing SDM.MethodsA web-based cross-sectional survey with open-ended and closed-ended questions.ResultsOur survey was completed by 131 healthcare professionals. The majority (63.6%) reported to prefer SDM and to be confident in their SDM skills (81.1%). Despite this inclination and confidence, only one in four clinicians reported consistent practice of SDM when feasible. Additionally, most clinicians lacked SDM knowledge. The barriers perceived by healthcare professionals included time constraints (17.6%), limited patient knowledge (17.6%), limited patient motivation (13.5%) and language barriers (16.2%). Importantly, two-thirds of the participants believed that SDM in athlete health care differs from SDM in non-athletes due to the high-pressure environment, the tension between performance and health, and the involvement of multiple stakeholders with potentially conflicting interests.ConclusionsAlthough healthcare professionals preferred SDM, they did not fully understand nor routinely practice it. Most healthcare professionals perceive SDM in athlete health care to differ from SDM in the general population. Therefore, to inform the implementation of SDM in athlete health care, future research is crucial to understand better what makes practising SDM unique in this setting.

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Section: Discussionmentioning

confidence: 98%

Shared decision-making with athletes: a survey study of healthcare professionals’ perspectives

Nelis,

Dijkstra,

Damman

et al. 2024

BMJ Open Sport Exerc Med

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“…This makes designing decision aids that do not increase consultation time an important challenge in different medical contexts. [ 36 ] Interestingly, systematic reviews show that SDM [ 37 ] or the use of decision aids do not necessarily require more consultation time. [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Co-creation of a health literate-sensitive training and conversation aid to support shared decision-making in maternity care

Murugesu,

Fransen,

Timmermans

et al. 2024

PEC Innovation

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“…Healthcare models and practices taught within the cultural West, such as patient-centred care and shared decision-making, do not always translate effectively into a different healthcare system. Although Newcastle students noted the efficiency of the Malaysian healthcare system in terms of numbers of patients treated in reduced time, the trade-off was doctor led care drawing from a paternalistic healthcare system 34. The more paternalistic approach could be driven by patient preference and cultural factors, with poorer patients and less well-educated patients preferring the paternalistic approach 28 34.…”

Section: Discussionmentioning

confidence: 99%

“…Although Newcastle students noted the efficiency of the Malaysian healthcare system in terms of numbers of patients treated in reduced time, the trade-off was doctor led care drawing from a paternalistic healthcare system 34. The more paternalistic approach could be driven by patient preference and cultural factors, with poorer patients and less well-educated patients preferring the paternalistic approach 28 34. For example, the older generation and those less well educated may be more familiar with a paternalistic approach and prefer doctors to make the decisions for them, believing this is the doctor’s role and feeling they are not qualified to take on this shared responsibility 34 35…”

Section: Discussionmentioning

confidence: 99%

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Identification of multicultural learning experiences following an international cross campus medical student exchange programme between the UK and Malaysia: a qualitative study

Rothwell,

Guilding,

Veasuvalingam

et al. 2023

BMJ Open

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ObjectivesIn an increasingly global society, there is a need to develop culturally competent doctors who can work effectively across diverse populations. International learning opportunities in undergraduate healthcare programmes show various benefits. In medical education, these occur predominantly towards the end of degree programmes as electives, with scant examples of programmes for preclinical students. This study set out to identify the multicultural learning experiences following an early year international medical student exchange programme between the UK and Malaysian campuses of one UK medical school.SettingTwo cohorts of international exchange programme for second year medical students in the UK and Malaysia.DesignInterpretivist qualitative design using semistructured interviews/focus groups with students and faculty.MethodsParticipants were asked about their learning experiences during and after the exchange. Data were recorded with consent and transcribed verbatim. Thematic analysis was used to analyse the data.ResultsFour themes were identified: (1) overall benefits of the exchange programme, (2) personal growth and development, (3) understanding and observing a different educational environment and (4) experiencing different healthcare systems.ConclusionThe international exchange programme highlighted differences in learning approaches, students from both campuses gained valuable learning experiences which increased their personal growth, confidence, cultural competence, giving them an appreciation of a better work–life balance and effective time management skills. It is often a challenge to prepare healthcare professionals for work in a global multicultural workplace and we would suggest that exchange programmes early on in a medical curriculum would go some way to addressing this challenge.

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Shared decision-making and the duration of medical consultations: A systematic review and meta-analysis

Cited by 21 publications

References 104 publications

Shared decision-making with athletes: a survey study of healthcare professionals’ perspectives

Shared decision-making with athletes: a survey study of healthcare professionals’ perspectives

Co-creation of a health literate-sensitive training and conversation aid to support shared decision-making in maternity care

Identification of multicultural learning experiences following an international cross campus medical student exchange programme between the UK and Malaysia: a qualitative study

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