Interprofessionalism and shared decision-making in primary care: a stepwise approach towards a new model
Open accessAbstract
Most shared decision-making (SDM) models within healthcare have been limited to the patient-physician dyad. As a first step towards promoting an interprofessional approach to SDM in primary care, this article reports how an interprofessional and interdisciplinary group developed and achieved consensus on a new interprofessional SDM model. The key concepts within published reviews of SDM models and interprofessionalism were identified, analysed, and discussed by the group in order to reach consensus on the new interprofessional SDM (IP-SDM) model. The IP-SDM model comprises three levels: the individual (micro) level and two healthcare system (meso and macro) levels. At the individual level, the patient presents with a health condition that requires decision-making and follows a structured process to make an informed, value-based decision in concert with a team of healthcare professionals. The model acknowledges (at the meso level) the influence of individual team members' professional roles including the decision coach and organizational routines. At the macro level it acknowledges the influence of system level factors (i.e. health policies, professional organisations, and social context) on the meso and individual levels. Subsequently, the IP-SDM model will be validated with other stakeholders.
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The broad categories of factors and their relative importance within the gears model are consistent with reviews that primarily identified qualitative studies.
“The broad categories of factors and their relative importance within the gears model as portrayed here are consistent with reviews that primarily identified qualitative studies that examine factors that influence IPCT collaboration [4, 20, 55, 56].”
From ‘Gearing Up’ to improve interprofessional collaboration in primary care: a systematic review and conceptual framework (2016) · cites this paper as [56]
The Identification of key concepts section (p. 3) says the authors drew on two systematic reviews to identify concepts relevant to interprofessionalism. It does not say those reviews primarily identified qualitative studies, or compare their findings with the gears model’s categories and relative importance. (LLM, conf=0.82)
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“tive studies that examine factors that influence IPCT collaboration [4, 20, 55, 56].”
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“An interprofessional shared decision making (or IP-SDM) approach is the most appropriate process because it recognizes multiple stakeholder contributions to the decision-making process [6].”
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Self-citation
- Authors
- Légaré, F., Stacey, D., Pouliot, S., Gauvin, F.-P., Desroches, S., Kryworuchko, J., Dunn, S., Elwyn, G., Frosch, D., Gagnon, M.-P., Harrison, M. B., Pluye, P., & Graham, I. D.
- Affiliations
- Centre hospitalier universitaire de Québec (CA)
- University of Ottawa (CA)
- Cardiff University (GB)
- University of California, Los Angeles (US)
- Queen's University (CA)
- McGill University (CA)
- Corresponding author
- Légaré, France
- ORCID
- Venue
- Journal of Interprofessional Care
- Publisher
- Informa UK Limited
- Published
- 2010-08-26
- Volume
- 25
- Issue
- 1
- Pages
- 18-25
- ISSN
- 1356-1820 (ISSN-L)
- 1469-9567
- PMC
- PMC3018136
- OpenAlex
- W2142433308
- Semantic Scholar
- 80d4bd8791015cd08ea331834216db149002965a
- Cited by
- 357
- References
- 35
- Citations by year
- 2026: 20 · 2025: 18 · 2024: 25 · 2023: 28 · 2022: 39 · 2021: 29 · 2020: 30 · 2019: 19 · 2018: 22 · 2017: 17 · 2016: 29 · 2015: 23 · 2014: 13 · 2013: 18 · 2012: 18
- FWCI
- 25.56
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Interprofessional Care (publishedVersion)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- eScholarship@McGill (McGill) (submittedVersion, cc-by)
- Radboud Repository (Radboud University) (submittedVersion)
- Funders
- Heart and Stroke Foundation of Canada
- Max-Planck-Gesellschaft
- Canadian Institutes of Health Research (Tier 2, 200609MOP, 200609MOP-166815-HPM-CFBA-19158, FRN):200609MOP-166815-HPM-CFBA-19158)
- Topics
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Keywords
- interprofessionalism, shared decision-making, primary care, interdisciplinary collaboration, decision coaching, organizational routines, health policy influence, value-based decision making, consensus development
- MeSH terms
- Attitude, Cooperative Behavior, Decision Making, Humans, Interprofessional Relations, Patient Care Team, Patient Participation, Primary Health Care, Professional Role
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