NDLI: Older patients and their GPs: shared decision making in enhancing trust.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Butterworth, Joanne E. Campbell, John L.
Description	Country affiliation: United kingdom Author Affiliation: Butterworth JE ( Primary Care Research Group, University of Exeter Medical School, Exeter, UK.); Campbell JL ( Primary Care Research Group, University of Exeter Medical School, Exeter, UK.)
Abstract	BACKGROUND: Older patients differ from younger patients in their perceptions of trust in doctors; their sense of shared decision making is particularly associated with their trust in the GP. Enhancing trust and improving shared decision making are thought to have positive health outcomes. Older patients are sometimes reported as being less frequently involved in decisions about their health care, however, and in having more unmet healthcare needs than younger patients. AIM: This study explored older patients' trust in their GPs and their perceptions of shared decision making. DESIGN AND SETTING: Qualitative methods were used. Systematic sampling identified 20 participants, aged ≥65 years, from three GP surgeries in Devon, UK. METHOD: A constant comparative approach was applied to thematic analysis of transcribed interviews. RESULTS: All participants valued feeling involved in decisions but differed regarding how they felt involved. Trust influenced preferences for shared decision making: a trusted GP 'ally', to competently manage participants' increasing health-information requirements throughout the vulnerable ageing process, was important. Trust was affected by factors contributing to the facilitation of involvement. GP characteristics, communication skills, consultation duration, and continuity of care were common themes. CONCLUSION: Although limited geographically and subsequently by ethnic group, the present sample allows for reasonable transferability of the study to other UK populations. A range of factors are highlighted for consideration when planning primary healthcare delivery: to facilitate the optimal involvement of older patients in decisions about their health care, while enhancing their trust in the GP; to help minimise potential health inequalities for this patient group.
File Format	HTM / HTML
ISSN	09601643
e-ISSN	14785242
DOI	10.3399/bjgp14X682297
Journal	British Journal of General Practice
Issue Number	628
Volume Number	64
Language	English
Publisher	Royal College of General Practitioners
Publisher Date	2014-11-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Decision Making Research Support, Non-u.s. Gov't General Practitioners Patient Participation Discipline Family Medicine Patient Preference Sampling Studies Physician-patient Relations Interviews As Topic
Content Type	Text
Resource Type	Article
Subject	Family Practice

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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