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Responsibility for the enactment of a shared decision-making consultation may therefore remain within the interactional space between GP and patient.
In this pilot cluster randomised controlled trial (RCT) we tested the hypothesis that the use of a decision aid together with an informed shared decision-making consultation approach would improve satisfaction with treatment for patients referred to a community physiotherapy service for treatment of low back pain.
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The parent trial aimed to promote decision making in primary care via the use of three arms: two computerised patient decision aids delivered in a shared decision making consultation; and a control condition of paper-based guidelines applied in a paternalistic way as a source of doctor-led advice.
In this multilingual context the ideals of shared decision-making within an ordered consultation are eroded.
The study results will provide a basis for recommendations about ways to communicate risk and facilitate shared decision-making during general practice consultations.
Use of HNA within clinical consultation will facilitate increased levels of shared decision-making Use of HNA within clinical consultation will facilitate increased levels of shared decision-making Shared decision-making will be measured with CollaboRATE.
48 Providing services that are responsive to the needs and aspirations of an ageing population, 49 in respect of confidence and trust, might involve doctors routinely engaging in shared decision-making with older patients during consultations.
The remaining five consultations displayed shared decision-making between service user and carer.
However, within the consultations promoting shared decision-making this should have been the time when patients were most actively involved in the conversation.
The project strives to give solutions for shared decision-making in order to optimize the individual consultation and to enhance the QoL of the chronically ill.
It is hypothesised that HNA will be associated with greater patient participation within the consultation, and that shared decision-making and feelings of self-efficacy will increase as a function of the intervention.
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