[A model for shared decision-making with frail older patients: consensus reached using Delphi technique]
SourceNederlands Tijdschrift voor Geneeskunde, 161, 0, (2017), article D811
Article / Letter to editor
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Primary and Community Care
Radboud Universitair Medisch Centrum
Nederlands Tijdschrift voor Geneeskunde
SubjectRadboudumc 18: Healthcare improvement science RIHS: Radboud Institute for Health Sciences; Radboudumc 1: Alzheimer`s disease DCMN: Donders Center for Medical Neuroscience
OBJECTIVE: To develop a model for shared decision-making with frail older patients. DESIGN: Online Delphi forum. METHOD: We used a three-round Delphi technique to reach consensus on the structure of a model for shared decision-making with older patients. The expert panel consisted of 16 patients (round 1), and 59 professionals (rounds 1-3). In round 1, the panel of experts was asked about important steps in the process of shared decision-making and the draft model was introduced. Rounds 2 and 3 were used to adapt the model and test it for 'importance' and 'feasibility'. RESULTS: Consensus for the dynamic shared decision-making model as a whole was achieved for both importance (91% panel agreement) and feasibility (76% panel agreement). CONCLUSION: Shared decision-making with older patients is a dynamic process. It requires a continuous supportive dialogue between health care professional and patient.
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