Core Domains of Shared Decision-Making During Psychiatric Visits: Scientific and Preference-Based Discussions

Sadaaki Fukui, Marianne S. Matthias, Michelle P. Salyers

Research output: Contribution to journalArticle

10 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)40-46
Number of pages7
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Volume42
Issue number1
DOIs
StatePublished - Jan 1 2014

Keywords

  • Consumer preference
  • Mental health
  • Person-centered care
  • Psychiatric consultation
  • Shared decision-making

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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