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Shared decision-making in primary care: the neglected second half of the consultation

Elwyn, Glyn ORCID:, Edwards, Adrian G. ORCID: and Kinnersley, Paul Richard 1999. Shared decision-making in primary care: the neglected second half of the consultation. British Journal of General Practice 49 (443) , pp. 477-482.

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The second half of the consultation is where decisions are made and future management agreed. We argue that this part of the clinical interaction has been 'neglected' during a time when communication skill development has been focused on uncovering and matching agendas. There are many factors, such as the increasing access to information and the emphasis on patient autonomy, which have led to the need to give more attention to both the skills and the information required to appropriately involve patients in the decision-making process. This analysis, based on a literature review, considers the concept of 'shared decision-making' and asks whether this approach is practical in the primary care setting. This study, and our ongoing research programme, indicates that future developments in this area depend on increasing the time available within consultations, require improved ways of communicating risk to patients, and an acquisition of new communication skills.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Publisher: Royal College of General Practitioners
ISSN: 0960-1643
Last Modified: 27 Oct 2022 09:05

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