AI Article Synopsis
- Shared decision-making (SDM) is essential for patient-centered care but is currently underutilized in primary care, prompting a review of training programs for general practitioners (GPs).
- Researchers conducted a systematic literature review across multiple databases, resulting in seven high-quality studies focused on GP SDM training methods and outcomes.
- Although the training improved GP behavior, only one of the five patient outcome studies showed positive results, indicating a need for more effective training methods, particularly those involving practical skills like role play, alongside further research on their cost-effectiveness.
Article Abstract
Introduction: Although shared decision-making (SDM) is key to providing patient-centred care, SDM is lacking in primary care. Training programmes seeking to improve GP SDM have yet to be reviewed. Therefore, a rapid review of the literature was conducted to evaluate GP SDM training methods and their outcomes.
Methods: MEDLINE, EMBASE and CENTRAL were systematically searched. Results of the studies included were synthesised narratively. Study quality was appraised using the Medical Education Research Study Quality Instrument (MERSQI).
Results: Seven studies were identified. Study quality was high, with a mean MERSQI score of 17.2/18 (range 16-18). Theory/presentation was the most prevalent training method (=6). Of the five studies assessing the impact of SDM training on patient outcomes, only one yielded positive results. Contrastingly, both studies assessing clinician behaviour produced positive results.
Conclusions: SDM training improved GP behaviour but the effects on patient outcomes were lacking. SDM training programmes that utilised teaching methods targeting practical SDM skills, such as role play, observed some positive findings. However, because their prevalence was lacking, further research into these methods, and their cost-effectiveness, are needed.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10540809 | PMC |
| http://dx.doi.org/10.7861/fhj.2022-0120 | DOI Listing |
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