Healthcare professionals’ behaviour regarding the implementation of shared decision-making in screening programmes: A systematic review |
| |
Authors: | María José Hernández-Leal María José Pérez-Lacasta María Feijoo-Cid Vanesa Ramos-García Misericòrdia Carles-Lavila |
| |
Institution: | 1. Department of Economics, Universitat Rovira i Virgili, Spain;2. Centre de Recerca en Economia i Sostenibilitat (ECO-SOS), Spain;3. Research Group on Statistics, Economic Evaluation and Health (GRAEES), Spain;4. Department of Nursing, Faculty of Medicine, Universitat Autónoma de Barcelona, Spain;5. Group de REcerca Multidisciplinar en SAlut i Societat (GREMSAS), (2017 SGR 917), Spain;6. Evaluation Unit of the Canary Islands Health Service (SESCS), Spain;7. Fundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), Spain |
| |
Abstract: | ObjectiveTo explore the barriers to and facilitators of healthcare professionals’ implementation of SDM regarding screening programmes.MethodA 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.ResultsEight 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.ConclusionThe 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.Practical implicationsThe authors suggest that to advance in the practice of SDM, we need to develop and disseminate training documents. Further, SDM should be incorporated into clinical guidelines. There should be more studies focusing on healthcare professionals’ behaviour within the context of the uncertainty of screening programmes. |
| |
Keywords: | Shared decision-making Participation in preventive health Screening programmes Healthcare professional |
本文献已被 ScienceDirect 等数据库收录! |
|