'I think this medicine actually killed my wife': patient and family perspectives on shared decision-making to optimize medications and safety.
geriatric medicine
multimorbidity
patient priorities
patient-centred care
polypharmacy
primary care
shared decision-making
Journal
Therapeutic advances in drug safety
ISSN: 2042-0986
Titre abrégé: Ther Adv Drug Saf
Pays: England
ID NLM: 101549074
Informations de publication
Date de publication:
2019
2019
Historique:
received:
26
06
2018
accepted:
01
02
2019
entrez:
7
5
2019
pubmed:
7
5
2019
medline:
7
5
2019
Statut:
epublish
Résumé
This study explored the perspectives and experiences from patients and families around how patient/family preferences and priorities are considered in medication-related discussions and decisions within the healthcare system. We conducted a qualitative study using focus groups with residents of Southern Ontario and British Columbia ( A total of three main themes [and several Our findings showed that shared decision-making resulted from both recognition and integration of the personal expertise of the patient and family in medications, and perceived patient-centredness. This is broadly consistent with the current conceptualization of evidence-based medicine. The stories told highlight the complex, dynamic, and nonlinear nature of shared decision-making for medications, and that patient priorities are not as integrated into shared decision-making about medications as we would hope. This suggests the need for developing a systematic process to elicit, record, and integrate patient preferences and priorities about medications to create space for a more patient-centred conversation.
Sections du résumé
BACKGROUND
BACKGROUND
This study explored the perspectives and experiences from patients and families around how patient/family preferences and priorities are considered in medication-related discussions and decisions within the healthcare system.
METHODS
METHODS
We conducted a qualitative study using focus groups with residents of Southern Ontario and British Columbia (
RESULTS
RESULTS
A total of three main themes [and several
CONCLUSIONS
CONCLUSIONS
Our findings showed that shared decision-making resulted from both recognition and integration of the personal expertise of the patient and family in medications, and perceived patient-centredness. This is broadly consistent with the current conceptualization of evidence-based medicine. The stories told highlight the complex, dynamic, and nonlinear nature of shared decision-making for medications, and that patient priorities are not as integrated into shared decision-making about medications as we would hope. This suggests the need for developing a systematic process to elicit, record, and integrate patient preferences and priorities about medications to create space for a more patient-centred conversation.
Identifiants
pubmed: 31057788
doi: 10.1177/2042098619838796
pii: 10.1177_2042098619838796
pmc: PMC6452573
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2042098619838796Déclaration de conflit d'intérêts
Conflict of interest statement: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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