Supporting shared decision making for older people with multiple health and social care needs: a realist synthesis.

ABSTRACT:

Background

Health care systems are increasingly moving towards more integrated approaches. Shared decision making (SDM) is central to these models but may be complicated by the need to negotiate and communicate decisions between multiple providers, as well as patients and their family carers; particularly for older people with complex needs. The aim of this review was to provide a context relevant understanding of how interventions to facilitate SDM might work for older people with multiple health and care needs, and how they might be applied in integrated care models.

Methods

Iterative, stakeholder driven, realist synthesis following RAMESES publication standards. It involved: 1) scoping literature and stakeholder interviews (n = 13) to develop initial programme theory/ies,

SUBMITTER: Bunn F 

PROVIDER: S-EPMC6052575 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature