Core domains of shared decision-making during psychiatric visits: scientific and preference-based discussions.
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.
The University of Kansas School of Social Welfare Center for Mental Health Research and Innovation, 1545 Lilac Lane, Lawrence, KS, 66044, USA, fsadaaki@ku.edu.
Sadaaki
S
Fukui
Marianne S
MS
Matthias
Michelle P
MP
Salyers
D000367:Age Factors; D003142:Communication; D003657:Decision Making; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D010358:Patient Participation; D057240:Patient Preference; D012737:Sex Factors; D012959:Socioeconomic Factors; D013997:Time Factors