An Everyday Patient-Centered Discussion Model for Primary Care: Protocol for a Feasibility and Acceptability Study of the Zeroing in on Individualized, Patient-Centered Decisions (ZIP) Approach.

ABSTRACT:

Background

The Zeroing in on Individualized, Patient-Centered Decisions (ZIP) approach was developed to be a feasible, everyday shared decision-making (SDM) approach to personalizing decisions in primary care. Current SDM models, which require 5 to 10 minutes just to present initial information, are impractical in primary care, highlighting the need for more concise, patient-centered approaches. The ZIP approach preserves core aspects of SDM while offering a more pragmatic framework suited to real-world clinical constraints. This approach includes three key elements: (1) making a personalized recommendation, (2) qualitatively presenting trade-offs, and (3) supporting patient decisional autonomy. Previous work has found this approach to be acceptable. However, little is known about

SUBMITTER: Dorin SS 

PROVIDER: S-EPMC12547340 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature