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báo cáo khoa học: " Barriers and facilitators to implementing shared decision-making in clinical practice: a systematic review of health professionals' perceptions"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Barriers and facilitators to implementing shared decision-making in clinical practice: a systematic review of health professionals' perceptions | Implementation Science BioMed Central Open Access Systematic Review Barriers and facilitators to implementing shared decision-making in clinical practice a systematic review of health professionals perceptions Karine Gravel1 France Légaré 1 2 and Ian D Graham3 Address Research Centre of the Centre Hospitalier Universitaire de Quebec Quebec Canada 2Department of Family Medicine Université Laval Quebec Canada and 3Faculty of Health Sciences University of Ottawa Ottawa Canada Email Karine Gravel - karine.gravel@crsfa.ulaval.ca France Légaré - france.legare@mfa.ulaval.ca Ian D Graham - igraham@ohri.ca Corresponding author Published 9 August 2006 Received 3 May 2006 Implementation Science 2006 1 16 doi 10.1186 1748-5908-1-16 Accepted 9 August 2006 This article is available from http www.implementationscience.cOm content 1 1 16 2006 Gravel et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Shared decision-making is advocated because of its potential to improve the quality of the decision-making process for patients and ultimately patient outcomes. However current evidence suggests that shared decision-making has not yet been widely adopted by health professionals. Therefore a systematic review was performed on the barriers and facilitators to implementing shared decisionmaking in clinical practice as perceived by health professionals. Methods Covering the period from 1990 to March 2006 PubMed Embase CINHAL PsycINFO and Dissertation Abstracts were searched for studies in English or French. The references from included studies also were consulted. Studies were included if they reported on health professionals perceived barriers and facilitators to implementing shared decision-making in their practices. Shared