Shared decision making does not influence physicians against clinical practice guidelines.

ABSTRACT:

Background

While shared decision making (SDM) and adherence to clinical practice guidelines (CPGs) are important, some believe they are incompatible. This study explored the mutual influence between physicians' intention to engage in SDM and their intention to follow CPGs.

Methods

Embedded within a clustered randomized trial to assess the impact of training physicians in SDM about using antibiotics to treat acute respiratory tract infections, this study evaluated physicians' intentions to both engage in SDM and follow CPGs. A self-administered questionnaire based on the theory of planned behavior evaluated both behavioral intentions and their respective determinants (attitude, subjective norm and perceived behavioral control) at study entry and exit. We used path analysis to

SUBMITTER: Guerrier M 

PROVIDER: S-EPMC3634782 | biostudies-literature | 2013

REPOSITORIES: biostudies-literature