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Core Domains of Shared Decision-Making During Psychiatric Visits: Scientific and Preference-Based Discussions
Fukui, Sadaaki Matthias, Marianne S. Salyers, Michelle P.
Fukui, Sadaaki
Matthias, Marianne S.
Salyers, Michelle P.
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Abstract
Shared decision-making (SDM) is imperative to person-centered care, yet little is known about what aspects of SDM are targeted during psychiatric visits. This secondary data analysis (191 psychiatric visits with 11 providers, coded with a validated SDM coding system) revealed two factors (scientific and preference-based discussions) underlying SDM communication. Preference-based discussion occurred less. Both provider and consumer initiation of SDM elements and decision complexity were associated with greater discussions in both factors, but were more strongly associated with scientific discussion. Longer visit length correlated with only scientific discussion. Providers’ understanding of core domains could facilitate engaging consumers in SDM.
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Date
2014-02-06
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Springer Verlag
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Keywords
Shared Decision-Making, Psychiatric Consultation, Mental Health, Person-Centered Care, Consumer Preference
Citation
Fukui, S., Matthias, M. S., & Salyers, M. P. (2015). Core domains of shared decision-making during psychiatric visits: Scientific and preference-based discussions. Administration and Policy in Mental Health, 42(1), 40–46. http://doi.org/10.1007/s10488-014-0539-3