Opportunities for addressing gaps in primary care shared decision-making with technology: a mixed-methods needs assessment.

ABSTRACT:

Objectives

To analyze current practices in shared decision-making (SDM) in primary care and perform a needs assessment for the role of information technology (IT) interventions.

Materials and methods

A mixed-methods study was conducted in three phases: (1) ethnographic observation of clinical encounters, (2) patient interviews, and (3) physician interviews. SDM was measured using the validated OPTION scale. Semistructured interviews followed an interview guide (developed by our multidisciplinary team) informed by the Traditional Decision Conflict Scale and Shared Decision Making Questionnaire. Field notes were independently coded and analyzed by two reviewers in Dedoose.

Results

Twenty-four patient encounters were observed in 3 diverse practices with an average OPTION

SUBMITTER: Misra AJ 

PROVIDER: S-EPMC6993997 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature