Shared decision making: A dual‐layer model to tackling multimorbidity in primary care

Ng, Chirk Jenn and Lee, Yew Kong and Abdullah, Adina and Abu Bakar, Ahmad Ihsan and Abdul Malik, Tun Firzara and Tiew, Han Wei (2019) Shared decision making: A dual‐layer model to tackling multimorbidity in primary care. Journal of Evaluation in Clinical Practice, 25 (6). pp. 1074-1079. ISSN 1356-1294, DOI

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It is common for primary care providers (PCPs) to manage complex multimorbidity. When caring for patients with multimorbidity, PCPs face challenges to tackle several issues within a short consultation in order to address patients' complex needs. Furthermore, some PCPs may lack access to a multidisciplinary team and need to manage multimorbidity within the confine of a PCP-patient partnership only. Instead of attempting to address multiple health issues within a single consultation, it would be more feasible and time effective for PCPs and patients to jointly prioritize the health issue to focus on. Using the Malaysian primary care setting as a case study, a dual-layer-shared decision-making approach is proposed whereby PCPs and patients make decisions on which disease(s) (layer 1) and treatment(s) (layer 2) to prioritize. This dual-layer model aims to address the challenges of short consultation time and limited healthcare resources by encouraging PCPs and patients to discuss, negotiate, and agree on the decision during the consultation to ensure patients' health needs are addressed. © 2019 John Wiley & Sons, Ltd.

Item Type: Article
Uncontrolled Keywords: consultation; multimorbidity; primary health care; shared decision making
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 20 Feb 2020 01:19
Last Modified: 20 Feb 2020 01:19

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