Abstract：
OBJECTIVE:To examine experiences of older persons and their clinicians with shared decision making (SDM) and their willingness to use an SDM instrument. DESIGN:Qualitative focus group study. PARTICIPANTS:Four focus groups of 41 older persons and 2 focus groups of 11 clinicians, purposively sampled to encompass a range of sociodemographic and clinical characteristics. APPROACH AND MAIN RESULTS: Audiotaped responses were transcribed, coded independently, and analyzed by 3 reviewers using the constant comparative method. Patient participants described using informal facilitators of shared decision making and supported use of an SDM instrument to keep "the doctor and patient on the same page." They envisioned the instrument as "part of the medical record" that could be "referenced at home." Clinician participants described the instrument as a "motivational and educational tool" that could "customize care for individual patients." Some clinician and patient participants expressed reluctance given time constraints and unfamiliarity with the process of setting participatory clinical goals. CONCLUSIONS:Participants indicated that they would use a shared decision-making instrument in their clinical encounters and attributed multiple functions to the instrument, especially as a tool to facilitate agreement with treatment goals and plans.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Naik AD,Schulman-Green D,McCorkle R,Bradley EH,Bogardus ST Jrdoi
10.1111/j.1525-1497.2005.0114.xsubject
Has Abstractpub_date
2005-07-01 00:00:00pages
640-3issue
7eissn
0884-8734issn
1525-1497pii
JGI05018journal_volume
20pub_type
杂志文章abstract：BACKGROUND:Extension for Community Healthcare Outcomes (ECHO) and related models of medical tele-education are rapidly expanding; however, their effectiveness remains unclear. This systematic review examines the effectiveness of ECHO and ECHO-like medical tele-education models of healthcare delivery in terms of improve...
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journal_title：Journal of general internal medicine
pub_type： 杂志文章,多中心研究
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journal_title：Journal of general internal medicine
pub_type： 杂志文章,评审
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journal_title：Journal of general internal medicine
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更新日期：2008-09-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-010-1512-9
更新日期：2011-02-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
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更新日期：1998-12-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
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pub_type： 已发布勘误
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pub_type： 杂志文章,多中心研究,随机对照试验
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1046/j.1525-1497.1998.00209.x
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doi：10.1046/j.1525-1497.1997.00083.x
更新日期：1997-08-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章,评审
doi：10.1007/BF02600847
更新日期：1990-09-01 00:00:00
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pub_type： 杂志文章,随机对照试验
doi：10.1007/s11606-015-3315-5
更新日期：2015-11-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1111/j.1525-1497.2004.30065.x
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更新日期：1992-07-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-010-1394-x
更新日期：2010-10-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/BF02598167
更新日期：1991-09-01 00:00:00
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journal_title：Journal of general internal medicine
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doi：10.1007/s11606-014-3063-y
更新日期：2015-04-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/BF02596118
更新日期：1988-03-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-020-05691-8
更新日期：2020-10-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1111/j.1525-1497.2004.30115.x
更新日期：2004-05-01 00:00:00
abstract：BACKGROUND:Women veterans are generally less healthy than their nonveteran female counterparts or male veterans. Accumulating evidence suggests there may be barriers to women veterans' access to and use of Veterans Health Administration (VHA) care. OBJECTIVE:To document perceived and/or actual barriers to care in a na...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1111/j.1525-1497.2006.00370.x
更新日期：2006-03-01 00:00:00
abstract：OBJECTIVE:Internet and other interactive technology-based programs offer great potential for practical, effective, and cost-efficient diabetes self-management (DSM) programs capable of reaching large numbers of patients. This study evaluated minimal and moderate support versions of an Internet-based diabetes self-manag...
journal_title：Journal of general internal medicine
pub_type： 杂志文章,随机对照试验
doi：10.1007/s11606-010-1480-0
更新日期：2010-12-01 00:00:00
