Shared decision making in musculoskeletal pain consultations in low- and middle-income countries: a systematic review
2019

Shared Decision Making in Musculoskeletal Pain Consultations in Low- and Middle-Income Countries

Sample size: 7 publication Evidence: moderate

Author Information

Author(s): Sam Sreya, Radha Sharma, Nadia Corp, Chinonso Igwesi-Chidobe, Opeyemi O Babatunde

Primary Institution: Keele University

Hypothesis

What is the awareness and practice of shared decision making in musculoskeletal pain consultations in low- and middle-income countries?

Conclusion

There is a low level of awareness and practice of shared decision making in musculoskeletal pain consultations in low- and middle-income countries, leading to poor patient outcomes.

Supporting Evidence

  • Seven studies were included in the review, mostly of moderate quality.
  • Low awareness of shared decision making was reported among healthcare professionals.
  • Barriers to shared decision making included cultural and operational factors.
  • Patient empowerment and health literacy were identified as facilitators for better outcomes.

Takeaway

Doctors and patients in some countries don't talk together about treatment options for pain, which can make it harder for patients to get better.

Methodology

A systematic review of primary studies investigating shared decision making in musculoskeletal pain consultations across healthcare settings in low- and middle-income countries.

Potential Biases

Many studies had unclear methodological quality, which may introduce bias.

Limitations

The review is limited by the low number of studies and the moderate quality of the included studies.

Participant Demographics

Participants were predominantly females aged 18 to 80 years, with healthcare professionals including various specialists.

Digital Object Identifier (DOI)

10.1093/inthealth/ihz077

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