TY - JOUR
T1 - A scoping review into the explanations for differences in the degrees of shared decision making experienced by patients
AU - Zagt, Anne C.
AU - Bos, Nanne
AU - Bakker, Max
AU - de Boer, Dolf
AU - Friele, Roland D.
AU - de Jong, Judith D.
N1 - Funding Information:
We would like to thank Linda van Schoonmade for her contribution to refining and finalizing the search strategy. I confirm all patient/personal identifiers have been removed or disguised so the patient/person(s) described are not identifiable and cannot be identified through the details of the story.
Publisher Copyright:
© 2023
PY - 2024/1/1
Y1 - 2024/1/1
N2 - Objectives: In order to improve the degree of shared decision making (SDM) experienced by patients, it is necessary to gain insight into the explanations for the differences in these degrees. Methods: A scoping review of the literature on the explanations for differences in the degree of SDM experienced by patients was conducted. We assessed 21,329 references. Ultimately, 308 studies were included. The explanations were divided into micro, meso, and macro levels. Results: The explanations are mainly related to the micro level. They include explanations related to the patient and healthcare professionals, the relationship between the patient and the physician, and the involvement of the patient's relatives. On the macro level, explanations are related to restrictions within the healthcare system such as time constraints, and adequate information about treatment options. On the meso level, explanations are related to the continuity of care and the involvement of other healthcare professionals. Conclusions: SDM is not an isolated process between the physician and patient. Explanations are connected to the macro, meso, and micro levels. Practice implications: This scoping review suggests that there could be more focus on explanations related to the macro and meso levels, and on how explanations at different levels are interrelated.
AB - Objectives: In order to improve the degree of shared decision making (SDM) experienced by patients, it is necessary to gain insight into the explanations for the differences in these degrees. Methods: A scoping review of the literature on the explanations for differences in the degree of SDM experienced by patients was conducted. We assessed 21,329 references. Ultimately, 308 studies were included. The explanations were divided into micro, meso, and macro levels. Results: The explanations are mainly related to the micro level. They include explanations related to the patient and healthcare professionals, the relationship between the patient and the physician, and the involvement of the patient's relatives. On the macro level, explanations are related to restrictions within the healthcare system such as time constraints, and adequate information about treatment options. On the meso level, explanations are related to the continuity of care and the involvement of other healthcare professionals. Conclusions: SDM is not an isolated process between the physician and patient. Explanations are connected to the macro, meso, and micro levels. Practice implications: This scoping review suggests that there could be more focus on explanations related to the macro and meso levels, and on how explanations at different levels are interrelated.
KW - Hospital care
KW - Patient perspective
KW - Shared decision making
U2 - 10.1016/j.pec.2023.108030
DO - 10.1016/j.pec.2023.108030
M3 - (Systematic) Review article
SN - 0738-3991
VL - 118
JO - Patient Education and Counseling
JF - Patient Education and Counseling
M1 - 108030
ER -