Barriers and Facilitators to Shared Decision-Making in Clinical Practice
Author Information
Author(s): Karine Gravel, France Légaré, Ian D. Graham
Primary Institution: Research Centre of the Centre Hospitalier Universitaire de Québec
Hypothesis
What are the barriers and facilitators perceived by health professionals in implementing shared decision-making in clinical practice?
Conclusion
Interventions to promote shared decision-making must address a wide range of factors, and more research is needed on health professionals beyond physicians.
Supporting Evidence
- Time constraints were the most frequently reported barrier to implementing shared decision-making.
- Provider motivation was identified as a key facilitator for implementing shared decision-making.
- Most studies used qualitative methods exclusively, indicating a focus on in-depth understanding of perceptions.
Takeaway
Doctors often find it hard to involve patients in decisions about their health because of time and other challenges, but getting patients involved can lead to better care.
Methodology
A systematic review of studies from 1990 to March 2006 that reported on health professionals' perceived barriers and facilitators to implementing shared decision-making.
Potential Biases
Potential bias due to the subjective nature of perceived barriers and facilitators.
Limitations
The review may not include all relevant studies due to the indexing challenges in this field.
Participant Demographics
Most participants were physicians (89%), with studies from 15 countries.
Digital Object Identifier (DOI)
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