Abstract:
:It is common for primary care providers (PCPs) to manage complex multimorbidity. When caring for patients with multimorbidity, PCPs face challenges to tackle several issues within a short consultation in order to address patients' complex needs. Furthermore, some PCPs may lack access to a multidisciplinary team and need to manage multimorbidity within the confine of a PCP-patient partnership only. Instead of attempting to address multiple health issues within a single consultation, it would be more feasible and time effective for PCPs and patients to jointly prioritize the health issue to focus on. Using the Malaysian primary care setting as a case study, a dual-layer-shared decision-making approach is proposed whereby PCPs and patients make decisions on which disease(s) (layer 1) and treatment(s) (layer 2) to prioritize. This dual-layer model aims to address the challenges of short consultation time and limited healthcare resources by encouraging PCPs and patients to discuss, negotiate, and agree on the decision during the consultation to ensure patients' health needs are addressed.
journal_name
J Eval Clin Practjournal_title
Journal of evaluation in clinical practiceauthors
Ng CJ,Lee YK,Abdullah A,Abu Bakar AI,Tun Firzara AM,Tiew HWdoi
10.1111/jep.13163subject
Has Abstractpub_date
2019-12-01 00:00:00pages
1074-1079issue
6eissn
1356-1294issn
1365-2753journal_volume
25pub_type
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