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Shared decision making in rural general practices:a qualitative exploration of older rural South Australians'perceived involvement in clinical consultations with doctors

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Global Health Journal 2024年第3期8卷 140-146页

作者： Mohammad Hamiduzzaman Noore Siddiquee Harry James Gaffney Frances Barraclough Aziz Rahman Jennene Greenhill Vicki Flood University Centrefor Rural Heath(Northern Rivers) Schoolof Health SciencesFaculty of Medicine and HealthThe University of SydneyLismoreNew South Wales 2480Australia College of Government Business and LawFlinders UniversityAdelaideSouth Australia 5042Australia Faculty of Medicine and Health The University of SydneySydneyNew South Wales 2006Australia Institute of Health and Wellbeing Federation University AustraliaBallaratVictoria 3353Australia School of Nursing Southern Cross UniversityBilingaQueensland 4225Australia

Background:Shared decision-making(SDM)implementation is a priority for Australian health systems,including general practices but it remains complex for specific groups like older rural *** initiated a qualitative study with older rural Australians to explore barriers to and facilitators of SDM in local general ***:We conducted a patient-oriented research,partnering with older rural Australians,families,and health service providers in research *** who visited general practices were purposively sampled from five small rural towns in South Australia.A semi-structured interview guide was used for interviews and reflexive thematic coding was ***:Telephone interviews were held with 27 *** themes were identified around older rural adults’involvement in SDM:(1)Understanding of"patient involvement";(2)Positive and negative outcomes;(3)Barriers to SDM;and(4)Facilitators to *** of patient involvement in SDM considerably varied among participants,with some reporting their involvement was contingent on the“opportunity to ask questions”and the“treatment choices”offered to *** the opportunity for involvement,barriers such as avoidance of cultural care and a lack of continuity of care are new *** encountered in SDM implementation also included resource constraints and time limitations in general *** knowledge of general practitioners and technology integration in consultations were viewed as potential enablers..Conclusion:Adequate resources and well-defined guidelines about the process should accompany the implementation of SDM in rural general practices of South *** strategies by general practitioners promoting health literacy and culturally-tailored communication approaches could increase older rural Australians'involvement in general.

关键词： general practices Shared decision making Olderrural Australians Patient involvement South Australia

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