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European Spine Journal

Erschienen in:

01.04.2014 | Original Article

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

verfasst von: L. E. Jones, L. C. Roberts, P. S. Little, M. A. Mullee, J. A. Cleland, C. Cooper

Erschienen in: European Spine Journal | Sonderheft 1/2014

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Abstract

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 decision-making and further work should focus on when and how it can be implemented.

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Titel: Shared decision-making in back pain consultations: an illusion or reality?
verfasst von: L. E. Jones
L. C. Roberts
P. S. Little
M. A. Mullee
J. A. Cleland
C. Cooper
Publikationsdatum: 01.04.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe Sonderheft 1/2014
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-014-3187-0

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