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Role of GPs in shared decision making with patients about palliative cancer treatment: a qualitative study in the Netherlands

BACKGROUND: GPs are well placed to enhance shared decision making (SDM) about treatment for patients with advanced cancer. However, to date, little is known about GPs’ views about their contribution to SDM. AIM: To explore GPs’ perspectives on their role in SDM about palliative cancer treatment and...

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Autores principales: den Hoek, Danique W Bos-van, van der Velden, Naomi CA, Huisman, Rozemarijn, van Laarhoven, Hanneke WM, Tange, Dorien, Wind, Jan, Smets, Ellen MA, Henselmans, Inge
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Royal College of General Practitioners 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8843392/
https://www.ncbi.nlm.nih.gov/pubmed/34990389
http://dx.doi.org/10.3399/BJGP.2021.0446
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author den Hoek, Danique W Bos-van
van der Velden, Naomi CA
Huisman, Rozemarijn
van Laarhoven, Hanneke WM
Tange, Dorien
Wind, Jan
Smets, Ellen MA
Henselmans, Inge
author_facet den Hoek, Danique W Bos-van
van der Velden, Naomi CA
Huisman, Rozemarijn
van Laarhoven, Hanneke WM
Tange, Dorien
Wind, Jan
Smets, Ellen MA
Henselmans, Inge
author_sort den Hoek, Danique W Bos-van
collection PubMed
description BACKGROUND: GPs are well placed to enhance shared decision making (SDM) about treatment for patients with advanced cancer. However, to date, little is known about GPs’ views about their contribution to SDM. AIM: To explore GPs’ perspectives on their role in SDM about palliative cancer treatment and the requirements they report to fulfil this role. DESIGN AND SETTING: Qualitative interview study among Dutch GPs. METHOD: GPs were sampled purposefully and conveniently. In-depth, semi-structured interviews were conducted, recorded, and transcribed verbatim. Transcripts were analysed by thematic analysis. RESULTS: Fifteen GPs took part in this study. Most of them reported practices that potentially support SDM: checking the quality of a decision, complementing SDM, and enabling SDM. Even though most of the GPs believed that decision making about systemic cancer treatment is primarily the oncologist’s responsibility, they did recognise their added value in the SDM process because of their gatekeeper position, the additional opportunity they offer patients to discuss treatment decisions, and their knowledge and experience as primary healthcare providers at the end of life. Requirements for them to support the SDM process were described as: good collaboration with oncologists; sufficient information about the disease and its treatment; time to engage in conversations about treatment; a trusting relationship with patients; and patient-centred communication. CONCLUSION: GPs may support SDM by checking the quality of a decision and by complementing and enabling the SDM process to reach high-quality decisions. This conceptualisation of the GP’s supporting role in SDM may help us to understand how SDM is carried out through interprofessional collaboration and provide tools for how to adopt a role in the interprofessional SDM process.
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spelling pubmed-88433922022-03-07 Role of GPs in shared decision making with patients about palliative cancer treatment: a qualitative study in the Netherlands den Hoek, Danique W Bos-van van der Velden, Naomi CA Huisman, Rozemarijn van Laarhoven, Hanneke WM Tange, Dorien Wind, Jan Smets, Ellen MA Henselmans, Inge Br J Gen Pract Research BACKGROUND: GPs are well placed to enhance shared decision making (SDM) about treatment for patients with advanced cancer. However, to date, little is known about GPs’ views about their contribution to SDM. AIM: To explore GPs’ perspectives on their role in SDM about palliative cancer treatment and the requirements they report to fulfil this role. DESIGN AND SETTING: Qualitative interview study among Dutch GPs. METHOD: GPs were sampled purposefully and conveniently. In-depth, semi-structured interviews were conducted, recorded, and transcribed verbatim. Transcripts were analysed by thematic analysis. RESULTS: Fifteen GPs took part in this study. Most of them reported practices that potentially support SDM: checking the quality of a decision, complementing SDM, and enabling SDM. Even though most of the GPs believed that decision making about systemic cancer treatment is primarily the oncologist’s responsibility, they did recognise their added value in the SDM process because of their gatekeeper position, the additional opportunity they offer patients to discuss treatment decisions, and their knowledge and experience as primary healthcare providers at the end of life. Requirements for them to support the SDM process were described as: good collaboration with oncologists; sufficient information about the disease and its treatment; time to engage in conversations about treatment; a trusting relationship with patients; and patient-centred communication. CONCLUSION: GPs may support SDM by checking the quality of a decision and by complementing and enabling the SDM process to reach high-quality decisions. This conceptualisation of the GP’s supporting role in SDM may help us to understand how SDM is carried out through interprofessional collaboration and provide tools for how to adopt a role in the interprofessional SDM process. Royal College of General Practitioners 2022-02-08 /pmc/articles/PMC8843392/ /pubmed/34990389 http://dx.doi.org/10.3399/BJGP.2021.0446 Text en © The Authors https://creativecommons.org/licenses/by/4.0/This article is Open Access: CC BY 4.0 licence (http://creativecommons.org/licences/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Research
den Hoek, Danique W Bos-van
van der Velden, Naomi CA
Huisman, Rozemarijn
van Laarhoven, Hanneke WM
Tange, Dorien
Wind, Jan
Smets, Ellen MA
Henselmans, Inge
Role of GPs in shared decision making with patients about palliative cancer treatment: a qualitative study in the Netherlands
title Role of GPs in shared decision making with patients about palliative cancer treatment: a qualitative study in the Netherlands
title_full Role of GPs in shared decision making with patients about palliative cancer treatment: a qualitative study in the Netherlands
title_fullStr Role of GPs in shared decision making with patients about palliative cancer treatment: a qualitative study in the Netherlands
title_full_unstemmed Role of GPs in shared decision making with patients about palliative cancer treatment: a qualitative study in the Netherlands
title_short Role of GPs in shared decision making with patients about palliative cancer treatment: a qualitative study in the Netherlands
title_sort role of gps in shared decision making with patients about palliative cancer treatment: a qualitative study in the netherlands
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8843392/
https://www.ncbi.nlm.nih.gov/pubmed/34990389
http://dx.doi.org/10.3399/BJGP.2021.0446
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