How preferences of patients with chronic diseases exist beyond shared decision-making in general practice
(2023) 28th WONCA Europe Conference — Location: (Belgium) Bruxelles (7.June.2023)
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- Abstract
- The patient-centered approach incorporates patient preferences into clinical decisions. This approach represents a fundamental value of general practice and is implemented nowadays by shared decision-making. However, despite years of research, the definition and role of patient preferences during medical decision-making remains unclear (Charles & Gafni, 2014). Moreover, the available research on the topic often overlooks the sensitivity of preferences to context and the component of co-construction with it (Lichtenstein & Slovic, 2012). In this study, we aim to explore preferences of patients with chronic diseases (CD) in a comprehensive way, through interactions between the general practitioner (GP) and the patient. As a first step of our study we have so far carried out individual semi-directed interviews with14 GPs. The transcripts of our interviews are currently being analyzed according to the principles of the grounded theory. Preliminary results provide information on how preferences of patients with CD arise from different types of interactions related or not with the process of medical decision-making. The way such preferences are manifested extends beyond medical shared-decision making and transcends the strict framework of the consultation to find different echoes in the professional life of doctors: medical knowledge, organization of the practice, relations with peers and professional identity. Our ongoing works sheds some light on how preferences of patients with CD play a role in how GPs work with their patients, beyond the objective of shared decision-making. The results of this study could lead to reconsider the role of preferences in clinical settings.
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Cornelis, G. (2023). How preferences of patients with chronic diseases exist beyond shared decision-making in general practice. 28th WONCA Europe Conference, (Belgium) Bruxelles. https://hdl.handle.net/2078.5/103456