Identifying opportunities for shared decision-making through patients' and physicians' perceptions on the diagnostic process: A qualitative analysis of malpractice claims in general practice.

ABSTRACT:

Background

Shared decision-making (SDM) is considered the preferred communication model, yet its applicability in the diagnostic process is understudied.

Objective

To identify clinical situations in the diagnostic process that could benefit from SDM.

Methods

An observational study of closed malpractice claims against general practitioners (2012-2020) related to problems of diagnosis, obtained from a liability insurance company in the Netherlands. We established SDM-selection criteria, specified for the diagnostic process (i.e. diagnostic uncertainty, multiple options and clinical equipoise). Phase 1: We selected and categorised eligible cases, using summarised information from a claim database. Phase 2: We analysed 90 fully documented claims and extracted information

SUBMITTER: Jacobse S 

PROVIDER: S-EPMC12131537 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature