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Interprofessionalism and shared decision-making in primary care: a stepwise approach towards a new model

Légaré, France, Stacey, Dawn, Pouliot, Sophie, Gauvin, François-Pierre, Desroches, Sophie, Kryworuchko, Jennifer, Dunn, Sandy, Elwyn, Glyn, Frosch, Dominick, Gagnon, Marie-Pierre, Harrison, Margaret B., Pluye, Pierre and Graham, Ian D. 2011. Interprofessionalism and shared decision-making in primary care: a stepwise approach towards a new model. Journal of Interprofessional Care 25 (1) , pp. 18-25. 10.3109/13561820.2010.490502

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Most shared decision-making (SDM) models within healthcare have been limited to the patient–physician dyad. As a first step towards promoting an interprofessional approach to SDM in primary care, this article reports how an interprofessional and interdisciplinary group developed and achieved consensus on a new interprofessional SDM model. The key concepts within published reviews of SDM models and interprofessionalism were identified, analysed, and discussed by the group in order to reach consensus on the new interprofessional SDM (IP-SDM) model. The IP-SDM model comprises three levels: the individual (micro) level and two healthcare system (meso and macro) levels. At the individual level, the patient presents with a health condition that requires decision-making and follows a structured process to make an informed, value-based decision in concert with a team of healthcare professionals. The model acknowledges (at the meso level) the influence of individual team members' professional roles including the decision coach and organizational routines. At the macro level it acknowledges the influence of system level factors (i.e. health policies, professional organisations, and social context) on the meso and individual levels. Subsequently, the IP-SDM model will be validated with other stakeholders. Read More:

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Uncontrolled Keywords: interprofessionalism, shared decision-making, conceptual models, theories, primary care
Publisher: Informa Healthcare
ISSN: 1356-1820
Last Modified: 19 Mar 2016 22:50

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