Why do clinicians not refer patients to online decision support tools? Interviews with front line clinics in the NHS

BMJ Open

Volumn 2, Issue 6, 2012, Pages

  Elwyn, Glyn ^a   Rix, Andrew ^a   Holt, Tom ^a   Jones, Deborah ^a  

^a CARDIFF UNIVERSITY   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; DECISION SUPPORT SYSTEM; HUMAN; INTERNET; MEDICAL DECISION MAKING; MEDICAL PRACTICE; ONLINE SYSTEM; PARAMEDICAL PERSONNEL; PATIENT DECISION MAKING; PATIENT REFERRAL; PRIMARY MEDICAL CARE; SEMI STRUCTURED INTERVIEW;

EID: 84871074259     PISSN: None     EISSN: 20446055     Source Type: Journal    
DOI: 10.1136/bmjopen-2012-001530     Document Type: Article

References (15)

1. Stacey D, Bennett C, Barry M, et al. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev 2011:(10);CD001431.
2. Elwyn G, Coulter A, Laitner S, et al. Implementing shared decision making in the NHS. BMJ 2010;341:c5146.
3. Légaré F, Ratté S, Gravel K, et al. Barriers and facilitators to implementing shared decision-making in clinical practice: update of a systematic review of health professionals ' perceptions. Patient Educ Couns 2008;73:526-35.
4. Caldon L, Collins K, Reed M, et al. Clinicians' concerns about decision support interventions for patients facing breast cancer surgery options: understanding the challenge of implementing shared decision-making. Health Expect 2010;14:133-46, Blackwell Publishing Ltd.
5. Feibelmann S, Yang TS, Uzogara EE, et al. What does it take to have sustained use of decision aids? A programme evaluation for the Breast Cancer Initiative. Health Expect 2011;14(Suppl 1):85-95.
6. Légaré F, Ratté S, Stacey D, et al. Interventions for improving the adoption of shared decision making by healthcare professionals. Cochrane Database Syst Rev 2010:(5);CD006732.
7. Coulter A. Engaging patients in healthcare. New York: Open University Press, 2011.
8. Wirrmann E, Askham J. Implementing patient decision aids in urology. Oxford: Picker Institute. 2006.
9. Garden J. Implementing an informed decision making programme for urology patients. J Commun Healthcare 2008;1:297-310.
10. Frosch DL, Bhatnagar V, Tally S, et al. Internet patient decision support: a randomized controlled trial comparing alternative approaches for men considering prostate cancer screening. Arch Intern Med (Internet) 2008;168:363-9. (Pubitemid 351347127)
11. Hirsch O, Keller H, Krones T, et al. Acceptance of shared decision making with reference to an electronic library of decision aids (arriba-lib) and its association to decision making in patients. An evaluation study. Implement Sci (Internet) 2011;6:70.
12. Evans R, Elwyn G, Edward A, et al. A randomised controlled trial of the effects of a web-based PSA decision aid, Prosdex. Protocol. BMC Fam Pract 2007;8:58.
13. Holmes-Rovner MV, Valade D, Orlowski C, et al. Implementing shared decision-making in routine practice: Barriers and opportunities. Health Expect 2000;3:182-91, Blackwell Science Ltd. (Pubitemid 30646742)
14. Gravel K, Légaré F, Graham I. Barriers and facilitators to implementing shared decision-making in clinical practice: a systematic review of health professionals' perceptions. Implement Sci 2006;1:16.
15. Elwyn G, Scholl I, Tietbohl C, et al. The implementation of patient decision support interventions into routine clinical practice: a systematic review. Implement Sci 2012;In review.