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Amid a political agenda for patient-centred healthcare, shared decision-making is reported to substantially improve patient experience, adherence to treatment and health outcomes. However, observational studies have shown that shared decision-making is rarely implemented in practice. The purpose of this study was to measure the prevalence of shared decision-making in clinical encounters involving physiotherapists and patients with back pain.Eighty outpatient encounters (comprising 40 h of data) were observed audio-recorded, transcribed verbatim and analysed using the 12-item OPTION scale. The higher the score, the greater is the shared decision-making competency of the clinicians.The mean OPTION score was 24.0% (range 10.4-43.8%).Shared decision-making was under-developed in the observed back pain consultations. Clinicians' strong desire to treat acted as a barrier to shared decision-making and further work should focus on when and how it can be implemented.

Original publication

DOI

10.1007/s00586-014-3187-0

Type

Journal article

Journal

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

Publication Date

04/2014

Volume

23 Suppl 1

Pages

S13 - S19

Addresses

Faculty of Health Sciences, University of Southampton, Highfield, Southampton, Hampshire, SO17 1BJ, UK, lej1a12@soton.ac.uk.

Keywords

Humans, Back Pain, Ambulatory Care, Professional-Patient Relations, Decision Making, Video Recording, Adolescent, Adult, Aged, Aged, 80 and over, Middle Aged, Patient Participation, Referral and Consultation, Primary Health Care, Process Assessment (Health Care), Female, Male, Young Adult, General Practice, Physical Therapists, United Kingdom