{"id":9631,"date":"2024-07-29T11:11:08","date_gmt":"2024-07-29T11:11:08","guid":{"rendered":"https:\/\/sescs.es\/?p=9631"},"modified":"2024-08-19T11:27:06","modified_gmt":"2024-08-19T11:27:06","slug":"sescs-publication-healthcare-professionals-perceptions-about-the-implementation-of-shared-decision-making-in-primary-care-a-qualitative-study-from-a-virtual-community-of-practice","status":"publish","type":"post","link":"https:\/\/sescs.es\/en\/sescs-publication-healthcare-professionals-perceptions-about-the-implementation-of-shared-decision-making-in-primary-care-a-qualitative-study-from-a-virtual-community-of-practice\/","title":{"rendered":"SESCS PUBLICATION: Healthcare Professionals\u2019 Perceptions about the Implementation of Shared Decision-Making in Primary Care: A Qualitative Study from a Virtual Community of Practice"},"content":{"rendered":"<p>Alezandra Torres-Casta\u00f1o, Lilisbeth Perestelo-P\u00e9rez, D\u00e9bora Koatz, Vanesa Ramos-Garc\u00eda, Ana Isabel Gonz\u00e1lez-Gonz\u00e1lez, Ana Toledo-Ch\u00e1varri, Carlos Jes\u00fas Bermejo-Caja, Himar Gonzalez-Pacheco, Analia Abt-Sack, Valeria Pacheco-Huergo, Carola Orrego<\/p>\n<p><strong>ABSTRACT<\/strong><\/p>\n<div class=\"eSEnRK erRRVO dNXUQo cjzFSm JUYHF bqmeqr bInrdi dCSLQl jhQjpY ibCwtb cEaIEN hpftSi jYADwv fSrteL gCaouQ bpiJH fMDMgT euvmnb dWEByn lhewWf kzWhjJ kGrTuD dINDpi cMEHgi joaZnP ckxHlM enUkly grOQmn gNPIvT jERTDL cwBrTF jCafsy eKfPsn kDvOvm eNYtiW jBYKcI wQfnp juzEmB epmuvM jxASez dxaDoa hAMuHi jBBExG nTSai fRdekv fnFPHJ gJNujC kEWxAo bHjWUJ eMxTUw dlxxQW dvknbV fFtpRP dxzIlt iEgVSh fckrva grndIc kmqrqt krLtwY cCAxWr kVhtyM iztRDP liMYqy ovoga fZVqxR bIDaVq ihfBBT jcxVWj kmBHnL dESszd eubqet kIepeo iacOaP cTSgTJ jLLntq fUakio fwHzea dkXDMO bnuHOn knxlOo gAofhl igxpLC kKUitp klpVDy iLBNjq dwlUMG ixJHCD kyIBgn thMLB iVlhWp jEryfO dPhvLs eGCfDJ kjJSbn bBqmsj xxWbw hxHqQC qmLyI udWtD dLDUgN fNBxGI eFsFfP gKssyu iBLeSY\"><strong>Background:<\/strong>\u00a0The incorporation of shared decision making (SDM) is a central part of empowerment processes, as it facilitates greater activation on the part of patients, increasing the likelihood of them gaining control over their healthcare and developing skills to solve their health problems. Despite these benefits, there are still difficulties in the implementation of SDM among healthcare professionals due to internal and external factors related to the context and health systems.<\/div>\n<div><\/div>\n<div class=\"eSEnRK erRRVO dNXUQo cjzFSm JUYHF bqmeqr bInrdi dCSLQl jhQjpY ibCwtb cEaIEN hpftSi jYADwv fSrteL gCaouQ bpiJH fMDMgT euvmnb dWEByn lhewWf kzWhjJ kGrTuD dINDpi cMEHgi joaZnP ckxHlM enUkly grOQmn gNPIvT jERTDL cwBrTF jCafsy eKfPsn kDvOvm eNYtiW jBYKcI wQfnp juzEmB epmuvM jxASez dxaDoa hAMuHi jBBExG nTSai fRdekv fnFPHJ gJNujC kEWxAo bHjWUJ eMxTUw dlxxQW dvknbV fFtpRP dxzIlt iEgVSh fckrva grndIc kmqrqt krLtwY cCAxWr kVhtyM iztRDP liMYqy ovoga fZVqxR bIDaVq ihfBBT jcxVWj kmBHnL dESszd eubqet kIepeo iacOaP cTSgTJ jLLntq fUakio fwHzea dkXDMO bnuHOn knxlOo gAofhl igxpLC kKUitp klpVDy iLBNjq dwlUMG ixJHCD kyIBgn thMLB iVlhWp jEryfO dPhvLs eGCfDJ kjJSbn bBqmsj xxWbw hxHqQC qmLyI udWtD dLDUgN fNBxGI eFsFfP gKssyu iBLeSY\"><strong>Aim:<\/strong>\u00a0To explore primary care professionals (PCPs)\u2019 perceptions of the SDM model, based on their preconceptions and experience in clinical practice.<\/div>\n<div><\/div>\n<div class=\"eSEnRK erRRVO dNXUQo cjzFSm JUYHF bqmeqr bInrdi dCSLQl jhQjpY ibCwtb cEaIEN hpftSi jYADwv fSrteL gCaouQ bpiJH fMDMgT euvmnb dWEByn lhewWf kzWhjJ kGrTuD dINDpi cMEHgi joaZnP ckxHlM enUkly grOQmn gNPIvT jERTDL cwBrTF jCafsy eKfPsn kDvOvm eNYtiW jBYKcI wQfnp juzEmB epmuvM jxASez dxaDoa hAMuHi jBBExG nTSai fRdekv fnFPHJ gJNujC kEWxAo bHjWUJ eMxTUw dlxxQW dvknbV fFtpRP dxzIlt iEgVSh fckrva grndIc kmqrqt krLtwY cCAxWr kVhtyM iztRDP liMYqy ovoga fZVqxR bIDaVq ihfBBT jcxVWj kmBHnL dESszd eubqet kIepeo iacOaP cTSgTJ jLLntq fUakio fwHzea dkXDMO bnuHOn knxlOo gAofhl igxpLC kKUitp klpVDy iLBNjq dwlUMG ixJHCD kyIBgn thMLB iVlhWp jEryfO dPhvLs eGCfDJ kjJSbn bBqmsj xxWbw hxHqQC qmLyI udWtD dLDUgN fNBxGI eFsFfP gKssyu iBLeSY\"><strong>Methods:<\/strong>\u00a0A framework analysis was conducted on qualitative data derived from a virtual community practice forum, within a cluster-randomized clinical trial developed in the e-MPODERA project.<\/div>\n<div><\/div>\n<div class=\"eSEnRK erRRVO dNXUQo cjzFSm JUYHF bqmeqr bInrdi dCSLQl jhQjpY ibCwtb cEaIEN hpftSi jYADwv fSrteL gCaouQ bpiJH fMDMgT euvmnb dWEByn lhewWf kzWhjJ kGrTuD dINDpi cMEHgi joaZnP ckxHlM enUkly grOQmn gNPIvT jERTDL cwBrTF jCafsy eKfPsn kDvOvm eNYtiW jBYKcI wQfnp juzEmB epmuvM jxASez dxaDoa hAMuHi jBBExG nTSai fRdekv fnFPHJ gJNujC kEWxAo bHjWUJ eMxTUw dlxxQW dvknbV fFtpRP dxzIlt iEgVSh fckrva grndIc kmqrqt krLtwY cCAxWr kVhtyM iztRDP liMYqy ovoga fZVqxR bIDaVq ihfBBT jcxVWj kmBHnL dESszd eubqet kIepeo iacOaP cTSgTJ jLLntq fUakio fwHzea dkXDMO bnuHOn knxlOo gAofhl igxpLC kKUitp klpVDy iLBNjq dwlUMG ixJHCD kyIBgn thMLB iVlhWp jEryfO dPhvLs eGCfDJ kjJSbn bBqmsj xxWbw hxHqQC qmLyI udWtD dLDUgN fNBxGI eFsFfP gKssyu iBLeSY\"><strong>Results:<\/strong>\u00a0The most important points in the opinions of the PCPs were: exploring the patients\u2019 values, preferences and expectations, providing them with and checking their understanding of up-to-date and evidence-based health information. The analysis revealed three themes: determinants of the implementation process of SDM, lack of consistency and dilemmas and benefits of PCP active listening, motivation and positive expectations of SDM.<\/div>\n<div><\/div>\n<div class=\"eSEnRK erRRVO dNXUQo cjzFSm JUYHF bqmeqr bInrdi dCSLQl jhQjpY ibCwtb cEaIEN hpftSi jYADwv fSrteL gCaouQ bpiJH fMDMgT euvmnb dWEByn lhewWf kzWhjJ kGrTuD dINDpi cMEHgi joaZnP ckxHlM enUkly grOQmn gNPIvT jERTDL cwBrTF jCafsy eKfPsn kDvOvm eNYtiW jBYKcI wQfnp juzEmB epmuvM jxASez dxaDoa hAMuHi jBBExG nTSai fRdekv fnFPHJ gJNujC kEWxAo bHjWUJ eMxTUw dlxxQW dvknbV fFtpRP dxzIlt iEgVSh fckrva grndIc kmqrqt krLtwY cCAxWr kVhtyM iztRDP liMYqy ovoga fZVqxR bIDaVq ihfBBT jcxVWj kmBHnL dESszd eubqet kIepeo iacOaP cTSgTJ jLLntq fUakio fwHzea dkXDMO bnuHOn knxlOo gAofhl igxpLC kKUitp klpVDy iLBNjq dwlUMG ixJHCD kyIBgn thMLB iVlhWp jEryfO dPhvLs eGCfDJ kjJSbn bBqmsj xxWbw hxHqQC qmLyI udWtD dLDUgN fNBxGI eFsFfP gKssyu iBLeSY\"><strong>Discussion:<\/strong>\u00a0In our initial analysis, we examined the connections between the categories of the TDC model and its application in the primary care context. The categories related to the model reflect the theoretical understanding of professionals, while those related to perceptions of its application and use show certain discrepancies. These discrepancies could indicate a lack of understanding of the model and its real-world implications or insufficient commitment on the part of professionals or the organization to ensure its effective implementation.<strong>Conclusions:<\/strong>\u00a0Specific targeted training that addresses knowledge, attitudes and practice may resolve the aforementioned findings.<\/p>\n<\/div>\n<p>You can read the full article (in English) <a href=\"https:\/\/ijic.org\/articles\/10.5334\/ijic.6554\">here<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Alezandra Torres-Casta\u00f1o, Lilisbeth Perestelo-P\u00e9rez, D\u00e9bora Koatz, Vanesa Ramos-Garc\u00eda, Ana Isabel Gonz\u00e1lez-Gonz\u00e1lez, Ana Toledo-Ch\u00e1varri, Carlos Jes\u00fas Bermejo-Caja, Himar Gonzalez-Pacheco, Analia Abt-Sack, &hellip; <\/p>\n","protected":false},"author":3,"featured_media":6868,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[229,105],"tags":[],"class_list":["post-9631","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-featured","category-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>SESCS PUBLICATION: Healthcare Professionals\u2019 Perceptions about the Implementation of Shared Decision-Making in Primary Care: A Qualitative Study from a Virtual Community of Practice | SESCS<\/title>\n<meta name=\"description\" content=\"Mantente al d\u00eda de las novedades del Servicio de Evaluaci\u00f3n y Planificaci\u00f3n del Servicio Canario de la Salud (SESCS).\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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