Author, as appears in the article.: María José Hernández-Leal, María José Pérez-Lacasta, María Feijoo-Cid, Vanesa Ramos-García, Misericòrdia Carles-Lavila

Department: Economia

URV's Author/s: Carles Lavila, Misericòrdia / Hernández Leal, María José / Pérez Lacasta, Maria José

Keywords: Uncertainty Systematic review Shared decision-making Shared decision making Screening programmes Review Remuneration Prostate-cancer Professionals salut Presa de decisions compartides, toma de decisiones compartidas Practice guideline Patient participation Participation in preventive health Medline Mass screening Male Literacy Humans Human Healthcare professional Health personnel Health care system Health care personnel Female Decision making, shared Decision making Consultation Cochrane library Cancer screening Adult support spain screening programmes physicians people patient empowerment participation in preventive health participation healthcare professional expectations consultation barriers

Abstract: Objective To explore the barriers to and facilitators of healthcare professionals’ implementation of SDM regarding screening programmes. Method A systematic review was conducted in PubMed, Cochrane Library, CINHAL, and PsyscInfo. The barriers and facilitators identified were classified into three factors based on their origin: patients, healthcare system performance, and healthcare professionals themselves. Results Eight studies were selected: seven related to cancer screening. The most significant facilitators were literacy and interest in active participation, both of which have their origins in patients. The most significant barriers identified for the first time in a systematic review were legal conflict, lack of remuneration and lack of flexibility in clinical guidelines in screening programmes. Conclusion The results of this study show that there are differences between barriers and facilitators for SDM when it is applied in the context of healthy people who perform preventive activities, particularly screening, in contrast to general medical consultation contexts.

Thematic Areas: Sociologia i política Social sciences, interdisciplinary Saúde coletiva Public, environmental & occupational health Nursing Medicine (miscellaneous) Medicine (all) Medicina iii Medicina i General o multidisciplinar General medicine Farmacia Enfermagem Educação física Ciencias sociales

licence for use: https://creativecommons.org/licenses/by/3.0/es/

ISSN: 0738-3991

Author's mail: mariajose.hernandez@urv.cat misericordia.carles@urv.cat mariajose.perez@urv.cat mariajose.hernandez@urv.cat

Author identifier: 0000-0002-4002-6454 0000-0003-3796-3014 0000-0001-5906-5632 0000-0002-4002-6454

Record's date: 2023-02-19

Papper version: info:eu-repo/semantics/acceptedVersion

Link to the original source: https://www.sciencedirect.com/science/article/pii/S0738399121000598

Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/

Papper original source: Patient Education And Counseling. 104 (8): 1933-1944

APA: María José Hernández-Leal, María José Pérez-Lacasta, María Feijoo-Cid, Vanesa Ramos-García, Misericòrdia Carles-Lavila (2021). Healthcare professionals’ behaviour regarding the implementation of shared decision-making in screening programmes: A systematic review. Patient Education And Counseling, 104(8), 1933-1944. DOI: 10.1016/j.pec.2021.01.032

Article's DOI: doi.org/10.1016/j. pec.2021.01.032

Entity: Universitat Rovira i Virgili

Journal publication year: 2021

Publication Type: Journal Publications