Barriers and facilitators for shared decision making in older patients with multiple chronic conditions: a systematic review.

ABSTRACT:

Background

The aim of this study was to describe barriers and facilitators for shared decision making (SDM) as experienced by older patients with multiple chronic conditions (MCCs), informal caregivers and health professionals.

Methods

A structured literature search was conducted with 5 databases. Two reviewers independently assessed studies for eligibility and performed a quality assessment. The results from the included studies were summarized using a predefined taxonomy.

Results

Our search yielded 3838 articles. Twenty-eight studies, listing 149 perceived barriers and 67 perceived facilitators for SDM, were included. Due to poor health and cognitive and/or physical impairments, older patients with MCCs participate less in SDM. Poor interpersonal skills of health pr

SUBMITTER: Pel-Littel RE 

PROVIDER: S-EPMC7866443 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature