Shared decision-making in general practice from a patient perspective. A cross-sectional survey

Birgitte Nørgaard*, Signe Beck Titlestad, Michael Haurum Marcussen

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

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Abstract

Objectives: We aimed to assess patient involvement in terms of shared decision-making in general practice from the perspectives of patients with chronic obstructive pulmonary disease (COPD) or type 2 diabetes (T2DM) (or both). Design: A cross-sectional survey using the 9-item Shared Decision-Making Questionnaire (SDM-Q-9) ranging from 0 to 5 (best). Setting and subjects: Patients diagnosed with either T2DM and/or COPD were asked to focus on their most recent consultation in general practice concerning their T2DM or lung disease. Responders were approached through the Danish Diabetes Association and Danish Lung Association. Results: The sample included 468 responders. Mean scores for the total sample were between 3.3 and 4.2. The overall mean score for all items was 3.7. The highest overall mean score was for patients with T2DM, whereas the lowest overall mean score was for patients having both T2DM and COPD. Furthermore, we observed a slightly lower overall mean score for women compared to men and for those younger than 65 years compared to those aged 65 years or older. Conclusion: Overall, patients are involved in shared decision-making in general practice Minor nuances were found because patients with COPD were less involved in shared decision-making compared to patients with T2DM. Similarly, younger patients and women were less involved than older patients and men.

Original languageEnglish
JournalScandinavian Journal of Primary Health Care
Volume40
Issue number2
Pages (from-to)167-172
ISSN0281-3432
DOIs
Publication statusPublished - Jun 2022

Keywords

  • General practice
  • patient involvement
  • patient perspectives
  • shared decision-making
  • Decision Making
  • Cross-Sectional Studies
  • Humans
  • Patient Participation
  • Male
  • Diabetes Mellitus, Type 2/complications
  • Pulmonary Disease, Chronic Obstructive/therapy
  • Decision Making, Shared
  • General Practice
  • Female

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