Toward Shared Decision Making: Using the OPTION Scale to Analyze Resident–Patient Consultations in Family Medicine

Pellerin, Marc‐André; Elwyn, Glyn; Rousseau, Michel; Stacey, Dawn; Robitaille, Hubert

doi:10.1097/acm.0b013e31822220c5

Cited by 42 publications

(54 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, that degree of comfort may not exist for all specialties: a large, multispecialty study of residents and educators concluded that risk communication, an essential part of SDM, may not be receiving enough attention during graduate education. 39 Our results and the current literature [39][40][41] suggest that more training, for both residents and attendings, is likely warranted.…”

Section: Discussionsupporting

confidence: 56%

A Qualitative Analysis of Attending Physicians' Use of Shared Decision-Making: Implications for Resident Education

Schoenfeld

Goff

Elia

et al. 2018

Journal of Graduate Medical Education

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 56%

A Qualitative Analysis of Attending Physicians' Use of Shared Decision-Making: Implications for Resident Education

Schoenfeld

Goff

Elia

et al. 2018

Journal of Graduate Medical Education

View full text Add to dashboard Cite

show abstract

“…age, socioeconomic status); the clinician's experience or gender; preference misdiagnosis; or time pressures. The duration of the encounter is likely to be of consequence, as in primary care, longer consultations with general practitioners have coincided with higher level of SDM measured with the OPTION scale [21].…”

Section: Discussionmentioning

confidence: 99%

Shared decision-making in back pain consultations: an illusion or reality?

Jones

Roberts

Little³

et al. 2014

Eur Spine J

View full text Add to dashboard Cite

Purpose Amid a political agenda for patient-centred healthcare, shared decision-making is reported to substantially improve patient experience, adherence to treatment and health outcomes. However, observational studies have shown that shared decision-making is rarely implemented in practice. The purpose of this study was to measure the prevalence of shared decision-making in clinical encounters involving physiotherapists and patients with back pain.Method Eighty outpatient encounters (comprising 40 h of data) were observed audio-recorded, transcribed verbatim and analysed using the 12-item OPTION scale. The higher the score, the greater is the shared decision-making competency of the clinicians. Results The mean OPTION score was 24.0 % (range 10.4-43.8 %). Conclusion Shared decision-making was under-developed in the observed back pain consultations. Clinicians' strong desire to treat acted as a barrier to shared decisionmaking and further work should focus on when and how it can be implemented.

show abstract

“…However, these processes are not even minimally present in most clinical practice. 23 It might seem straightforward enough to ask a patient about his or her values and preferences, but the actual process of values clarification or preference elicitation is fraught with difficulties. For example, values and preferences have been shown to be highly unstable, and varying the method of asking a question can substantially change a patient's answer.…”

Section: Understandingmentioning

confidence: 99%

Shared Decision Making: Examining Key Elements And Barriers To Adoption Into Routine Clinical Practice

Légaré¹,

2013

Self Cite

View full text Add to dashboard Cite

For many patients, the time spent meeting with their physician-the clinical encounter-is the most opportune moment for them to become engaged in their own health through the process of shared decision making. In the United States shared decision making is being promoted for its potential to improve the health of populations and individual patients, while also helping control care costs. In this overview we describe the three essential elements of shared decision making: recognizing and acknowledging that a decision is required; knowing and understanding the best available evidence; and incorporating the patient's values and preferences into the decision. To achieve the promise of shared decision making, more physicians need training in the approach, and more practices need to be reorganized around the principles of patient engagement. Additional research is also needed to identify the interventions that are most effective.

show abstract

Toward Shared Decision Making: Using the OPTION Scale to Analyze Resident–Patient Consultations in Family Medicine

Abstract: Participating family medicine residents have not integrated SDM behaviors, which may also pertain to residencies elsewhere. Interventions are required to foster family medicine residents' practice of SDM.

Cited by 42 publications

References 35 publications

A Qualitative Analysis of Attending Physicians' Use of Shared Decision-Making: Implications for Resident Education

A Qualitative Analysis of Attending Physicians' Use of Shared Decision-Making: Implications for Resident Education

Shared decision-making in back pain consultations: an illusion or reality?

Shared Decision Making: Examining Key Elements And Barriers To Adoption Into Routine Clinical Practice

Contact Info

Product

Resources

About