Patients' understanding of shared decision making in a mental health setting

Johanne Eliacin, Michelle P. Salyers, Marina Kukla, Marianne Matthias

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Shared decision making is a fundamental component of patient-centered care and has been linked to positive health outcomes. Increasingly, researchers are turning their attention to shared decision making in mental health; however, few studies have explored decision making in these settings from patients' perspectives. We examined patients' accounts and understanding of shared decision making. We analyzed interviews from 54 veterans receiving outpatient mental health care at a Department of Veterans Affairs Medical Center in the United States. Although patients' understanding of shared decision making was consistent with accounts published in the literature, participants reported that shared decision making goes well beyond these components. They identified the patient-provider relationship as the bedrock of shared decision making and highlighted several factors that interfere with shared decision making. Our findings highlight the importance of the patient-provider relationship as a fundamental element of shared decision making and point to areas for potential improvement.

Original languageEnglish (US)
Pages (from-to)668-678
Number of pages11
JournalQualitative Health Research
Volume25
Issue number5
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

Fingerprint

Decision Making
Mental Health
Veterans
Patient-Centered Care
Outpatients
Research Personnel
Interviews
Delivery of Health Care
Health

Keywords

  • communication
  • decision making
  • mental health and illness
  • relationships, health care
  • research, qualitative

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Patients' understanding of shared decision making in a mental health setting. / Eliacin, Johanne; Salyers, Michelle P.; Kukla, Marina; Matthias, Marianne.

In: Qualitative Health Research, Vol. 25, No. 5, 01.01.2015, p. 668-678.

Research output: Contribution to journalArticle

Eliacin, Johanne ; Salyers, Michelle P. ; Kukla, Marina ; Matthias, Marianne. / Patients' understanding of shared decision making in a mental health setting. In: Qualitative Health Research. 2015 ; Vol. 25, No. 5. pp. 668-678.
@article{c50dc5f9088a40aab25ee94ac061929e,
title = "Patients' understanding of shared decision making in a mental health setting",
abstract = "Shared decision making is a fundamental component of patient-centered care and has been linked to positive health outcomes. Increasingly, researchers are turning their attention to shared decision making in mental health; however, few studies have explored decision making in these settings from patients' perspectives. We examined patients' accounts and understanding of shared decision making. We analyzed interviews from 54 veterans receiving outpatient mental health care at a Department of Veterans Affairs Medical Center in the United States. Although patients' understanding of shared decision making was consistent with accounts published in the literature, participants reported that shared decision making goes well beyond these components. They identified the patient-provider relationship as the bedrock of shared decision making and highlighted several factors that interfere with shared decision making. Our findings highlight the importance of the patient-provider relationship as a fundamental element of shared decision making and point to areas for potential improvement.",
keywords = "communication, decision making, mental health and illness, relationships, health care, research, qualitative",
author = "Johanne Eliacin and Salyers, {Michelle P.} and Marina Kukla and Marianne Matthias",
year = "2015",
month = "1",
day = "1",
doi = "10.1177/1049732314551060",
language = "English (US)",
volume = "25",
pages = "668--678",
journal = "Qualitative Health Research",
issn = "1049-7323",
publisher = "SAGE Publications Inc.",
number = "5",

}

TY - JOUR

T1 - Patients' understanding of shared decision making in a mental health setting

AU - Eliacin, Johanne

AU - Salyers, Michelle P.

AU - Kukla, Marina

AU - Matthias, Marianne

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Shared decision making is a fundamental component of patient-centered care and has been linked to positive health outcomes. Increasingly, researchers are turning their attention to shared decision making in mental health; however, few studies have explored decision making in these settings from patients' perspectives. We examined patients' accounts and understanding of shared decision making. We analyzed interviews from 54 veterans receiving outpatient mental health care at a Department of Veterans Affairs Medical Center in the United States. Although patients' understanding of shared decision making was consistent with accounts published in the literature, participants reported that shared decision making goes well beyond these components. They identified the patient-provider relationship as the bedrock of shared decision making and highlighted several factors that interfere with shared decision making. Our findings highlight the importance of the patient-provider relationship as a fundamental element of shared decision making and point to areas for potential improvement.

AB - Shared decision making is a fundamental component of patient-centered care and has been linked to positive health outcomes. Increasingly, researchers are turning their attention to shared decision making in mental health; however, few studies have explored decision making in these settings from patients' perspectives. We examined patients' accounts and understanding of shared decision making. We analyzed interviews from 54 veterans receiving outpatient mental health care at a Department of Veterans Affairs Medical Center in the United States. Although patients' understanding of shared decision making was consistent with accounts published in the literature, participants reported that shared decision making goes well beyond these components. They identified the patient-provider relationship as the bedrock of shared decision making and highlighted several factors that interfere with shared decision making. Our findings highlight the importance of the patient-provider relationship as a fundamental element of shared decision making and point to areas for potential improvement.

KW - communication

KW - decision making

KW - mental health and illness

KW - relationships, health care

KW - research, qualitative

UR - http://www.scopus.com/inward/record.url?scp=84926486430&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84926486430&partnerID=8YFLogxK

U2 - 10.1177/1049732314551060

DO - 10.1177/1049732314551060

M3 - Article

VL - 25

SP - 668

EP - 678

JO - Qualitative Health Research

JF - Qualitative Health Research

SN - 1049-7323

IS - 5

ER -