Shared decision making in rural general practices: a qualitative exploration of older rural South Australians’ perceived involvement in clinical consultations with doctors

Mohammad Hamiduzzaman; Noore Siddiquee; Harry James Gaffney; Frances Barraclough; Aziz Rahman; Jennene Greenhill; Vicki Flood

doi:10.1016/j.glohj.2024.08.003

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Shared decision making in rural general practices: a qualitative exploration of older rural South Australians’ perceived involvement in clinical consultations with doctors

Journal article

Open access

Peer reviewed

Shared decision making in rural general practices: a qualitative exploration of older rural South Australians’ perceived involvement in clinical consultations with doctors

Mohammad Hamiduzzaman, Noore Siddiquee, Harry James Gaffney, Frances Barraclough, Aziz Rahman, Jennene Greenhill and Vicki Flood

Global health journal (Amsterdam, Netherlands), Vol.8(3), pp.140-146

08/2024

DOI: https://doi.org/10.1016/j.glohj.2024.08.003

Appears in Recent Faculty of Health Publications

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Abstract

General practices

Older rural Australians

Patient involvement

Shared decision making

South Australia

Background Shared decision-making (SDM) implementation is a priority for Australian health systems, including general practices but it remains complex for specific groups like older rural Australians. We initiated a qualitative study with older rural Australians to explore barriers to and facilitators of SDM in local general practices. Methods We conducted a patient-oriented research, partnering with older rural Australians, families, and health service providers in research design. Participants who visited general practices were purposively sampled from five small rural towns in South Australia. A semi-structured interview guide was used for interviews and reflexive thematic coding was conducted. Results Telephone interviews were held with 27 participants. Four themes were identified around older rural adults’ involvement in SDM: (1) Understanding of “patient involvement”; (2) Positive and negative outcomes; (3) Barriers to SDM; and (4) Facilitators to SDM. Understanding of patient involvement in SDM considerably varied among participants, with some reporting their involvement was contingent on the “opportunity to ask questions” and the “treatment choices” offered to them. Alongside the opportunity for involvement, barriers such as avoidance of cultural care and a lack of continuity of care are new findings. Challenges encountered in SDM implementation also included resource constraints and time limitations in general practices. Rural knowledge of general practitioners and technology integration in consultations were viewed as potential enablers. Conclusions Adequate resources and well-defined guidelines about the process should accompany the implementation of SDM in rural general practices of South Australia. Innovative strategies by general practitioners promoting health literacy and culturally-tailored communication approaches could increase older rural Australians’ involvement in general.

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Title: Shared decision making in rural general practices: a qualitative exploration of older rural South Australians’ perceived involvement in clinical consultations with doctors
Creators: Mohammad Hamiduzzaman - University of Sydney
Noore Siddiquee - Flinders University
Harry James Gaffney - University of Sydney
Frances Barraclough - University of Sydney
Aziz Rahman - Federation University
Jennene Greenhill - Southern Cross University
Vicki Flood - University of Sydney
Publication Details: Global health journal (Amsterdam, Netherlands), Vol.8(3), pp.140-146
Publisher: Elsevier B.V
Number of pages: 7
Identifiers: 991013214799902368
Copyright: Copyright © 2024 People’s Medical Publishing House Co. Ltd. Publishing service by Elsevier B.V. on behalf of KeAi Communications Co. Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Academic Unit: Nursing; Faculty of Health
Language: English
Resource Type: Journal article

Shared decision making in rural general practices: a qualitative exploration of older rural South Australians’ perceived involvement in clinical consultations with doctors

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