Healthcare professionals' behaviour regarding the implementation of shared decision-making in screening programmes

Objective: To explore the barriers to and facilitators of healthcare professionals' implementation of SDM regarding screening programmes. Method: A systematic review was conducted in PubMed, Cochrane Library, CINHAL, and PsyscInfo. The barriers and facilitators identified were classified into t...

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Autores: Pérez-Lacasta, María José|||0000-0001-5906-5632, Pérez-Lacasta, Maria José, Feijoo Cid, Maria|||0000-0002-7010-373X, Ramos-García, Vanesa|||0000-0002-9106-2420, Carles-Lavila, Misericòrdia|||0000-0003-3796-3014
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:287605
Acceso en línea:https://ddd.uab.cat/record/287605
https://dx.doi.org/urn:doi:10.1016/j.pec.2021.01.032
Access Level:acceso abierto
Palabra clave:Shared decision-making
Participation in preventive health
Screening programmes
Healthcare professional
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spelling Healthcare professionals' behaviour regarding the implementation of shared decision-making in screening programmesA systematic reviewPérez-Lacasta, María José|||0000-0001-5906-5632Pérez-Lacasta, Maria JoséFeijoo Cid, Maria|||0000-0002-7010-373XRamos-García, Vanesa|||0000-0002-9106-2420Carles-Lavila, Misericòrdia|||0000-0003-3796-3014Shared decision-makingParticipation in preventive healthScreening programmesHealthcare professionalObjective: To explore the barriers to and facilitators of healthcare professionals' implementation of SDM regarding screening programmes. Method: A 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. Results: Eight 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. Conclusion: The 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 implications: The 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. 22021-01-0120212021-01-01Article de revisióhttp://purl.org/coar/resource_type/c_dcae04bcVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/287605https://dx.doi.org/urn:doi:10.1016/j.pec.2021.01.032reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengInstituto de Salud Carlos III https://doi.org/10.13039/501100004587 PI18/00773European Commission https://doi.org/10.13039/501100000780 713679open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2876052026-06-06T12:50:31Z
dc.title.none.fl_str_mv Healthcare professionals' behaviour regarding the implementation of shared decision-making in screening programmes
A systematic review
title Healthcare professionals' behaviour regarding the implementation of shared decision-making in screening programmes
spellingShingle Healthcare professionals' behaviour regarding the implementation of shared decision-making in screening programmes
Pérez-Lacasta, María José|||0000-0001-5906-5632
Shared decision-making
Participation in preventive health
Screening programmes
Healthcare professional
title_short Healthcare professionals' behaviour regarding the implementation of shared decision-making in screening programmes
title_full Healthcare professionals' behaviour regarding the implementation of shared decision-making in screening programmes
title_fullStr Healthcare professionals' behaviour regarding the implementation of shared decision-making in screening programmes
title_full_unstemmed Healthcare professionals' behaviour regarding the implementation of shared decision-making in screening programmes
title_sort Healthcare professionals' behaviour regarding the implementation of shared decision-making in screening programmes
dc.creator.none.fl_str_mv Pérez-Lacasta, María José|||0000-0001-5906-5632
Pérez-Lacasta, Maria José
Feijoo Cid, Maria|||0000-0002-7010-373X
Ramos-García, Vanesa|||0000-0002-9106-2420
Carles-Lavila, Misericòrdia|||0000-0003-3796-3014
author Pérez-Lacasta, María José|||0000-0001-5906-5632
author_facet Pérez-Lacasta, María José|||0000-0001-5906-5632
Pérez-Lacasta, Maria José
Feijoo Cid, Maria|||0000-0002-7010-373X
Ramos-García, Vanesa|||0000-0002-9106-2420
Carles-Lavila, Misericòrdia|||0000-0003-3796-3014
author_role author
author2 Pérez-Lacasta, Maria José
Feijoo Cid, Maria|||0000-0002-7010-373X
Ramos-García, Vanesa|||0000-0002-9106-2420
Carles-Lavila, Misericòrdia|||0000-0003-3796-3014
author2_role author
author
author
author
dc.subject.none.fl_str_mv Shared decision-making
Participation in preventive health
Screening programmes
Healthcare professional
topic Shared decision-making
Participation in preventive health
Screening programmes
Healthcare professional
description Objective: To explore the barriers to and facilitators of healthcare professionals' implementation of SDM regarding screening programmes. Method: A 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. Results: Eight 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. Conclusion: The 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 implications: The 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.
publishDate 2021
dc.date.none.fl_str_mv 2
2021-01-01
2021
2021-01-01
dc.type.none.fl_str_mv Article de revisió
http://purl.org/coar/resource_type/c_dcae04bc
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/287605
https://dx.doi.org/urn:doi:10.1016/j.pec.2021.01.032
url https://ddd.uab.cat/record/287605
https://dx.doi.org/urn:doi:10.1016/j.pec.2021.01.032
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 PI18/00773
European Commission https://doi.org/10.13039/501100000780 713679
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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