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Healthcare professionals’ behaviour regarding the implementation of shared decision-making in screening programmes: A systematic review

  • Datos identificativos

    Identificador: imarina:9156698
    Autores:
    María José Hernández-Leal, María José Pérez-Lacasta, María Feijoo-Cid, Vanesa Ramos-García, Misericòrdia Carles-Lavila
    Resumen:
    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.
  • Otros:

    Autor según el artículo: María José Hernández-Leal, María José Pérez-Lacasta, María Feijoo-Cid, Vanesa Ramos-García, Misericòrdia Carles-Lavila
    Departamento: Economia
    Autor/es de la URV: Carles Lavila, Misericòrdia / Hernández Leal, María José / Pérez Lacasta, Maria José
    Palabras clave: 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
    Resumen: 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.
    Áreas temáticas: 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
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 0738-3991
    Direcció de correo del autor: mariajose.hernandezl@estudiants.urv.cat mariajose.hernandezl@estudiants.urv.cat mariajose.perez@urv.cat misericordia.carles@urv.cat
    Identificador del autor: 0000-0002-4002-6454 0000-0002-4002-6454 0000-0001-5906-5632 0000-0003-3796-3014
    Fecha de alta del registro: 2024-07-27
    Versión del articulo depositado: info:eu-repo/semantics/acceptedVersion
    Enlace a la fuente original: https://www.sciencedirect.com/science/article/pii/S0738399121000598
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referencia al articulo segun fuente origial: Patient Education And Counseling. 104 (8): 1933-1944
    Referencia de l'ítem segons les normes 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
    DOI del artículo: 10.1016/j.pec.2021.01.032
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2021
    Tipo de publicación: Journal Publications
  • Palabras clave:

    Medicine (Miscellaneous),Nursing,Public, Environmental & Occupational Health,Social Sciences, Interdisciplinary
    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
    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
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