Research output: Contribution to journal › Article › Academic › peer-review
Role of GPs in shared decision making with patients about palliative cancer treatment : a qualitative study in the Netherlands. / Bos-van den Hoek, Danique W.; van der Velden, Naomi C. A.; Huisman, Rozemarijn et al.
In: The British journal of general practice : the journal of the Royal College of General Practitioners, Vol. 72, No. 717, 01.04.2022, p. e276-e284.Research output: Contribution to journal › Article › Academic › peer-review
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TY - JOUR
T1 - Role of GPs in shared decision making with patients about palliative cancer treatment
T2 - a qualitative study in the Netherlands
AU - Bos-van den Hoek, Danique W.
AU - van der Velden, Naomi C. A.
AU - Huisman, Rozemarijn
AU - van Laarhoven, Hanneke W. M.
AU - Tange, Dorien
AU - Wind, Jan
AU - Smets, Ellen M. A.
AU - Henselmans, Inge
N1 - Funding Information: This work was financially supported by the Netherlands Organization of Health Research and Development (ZonMw, reference: #844001514). Publisher Copyright: ©The Authors
PY - 2022/4/1
Y1 - 2022/4/1
N2 - BACKGROUND: GPs are well placed to enhance shared decision making (SDM) about treatment for patients with advanced cancer. However, to date, little is known about GPs' views about their contribution to SDM. AIM: To explore GPs' perspectives on their role in SDM about palliative cancer treatment and the requirements they report to fulfil this role. DESIGN AND SETTING: Qualitative interview study among Dutch GPs. METHOD: GPs were sampled purposefully and conveniently. In-depth, semi-structured interviews were conducted, recorded, and transcribed verbatim. Transcripts were analysed by thematic analysis. RESULTS: Fifteen GPs took part in this study. Most of them reported practices that potentially support SDM: checking the quality of a decision, complementing SDM, and enabling SDM. Even though most of the GPs believed that decision making about systemic cancer treatment is primarily the oncologist's responsibility, they did recognise their added value in the SDM process because of their gatekeeper position, the additional opportunity they offer patients to discuss treatment decisions, and their knowledge and experience as primary healthcare providers at the end of life. Requirements for them to support the SDM process were described as: good collaboration with oncologists; sufficient information about the disease and its treatment; time to engage in conversations about treatment; a trusting relationship with patients; and patient-centred communication. CONCLUSION: GPs may support SDM by checking the quality of a decision and by complementing and enabling the SDM process to reach high-quality decisions. This conceptualisation of the GP's supporting role in SDM may help us to understand how SDM is carried out through interprofessional collaboration and provide tools for how to adopt a role in the interprofessional SDM process.
AB - BACKGROUND: GPs are well placed to enhance shared decision making (SDM) about treatment for patients with advanced cancer. However, to date, little is known about GPs' views about their contribution to SDM. AIM: To explore GPs' perspectives on their role in SDM about palliative cancer treatment and the requirements they report to fulfil this role. DESIGN AND SETTING: Qualitative interview study among Dutch GPs. METHOD: GPs were sampled purposefully and conveniently. In-depth, semi-structured interviews were conducted, recorded, and transcribed verbatim. Transcripts were analysed by thematic analysis. RESULTS: Fifteen GPs took part in this study. Most of them reported practices that potentially support SDM: checking the quality of a decision, complementing SDM, and enabling SDM. Even though most of the GPs believed that decision making about systemic cancer treatment is primarily the oncologist's responsibility, they did recognise their added value in the SDM process because of their gatekeeper position, the additional opportunity they offer patients to discuss treatment decisions, and their knowledge and experience as primary healthcare providers at the end of life. Requirements for them to support the SDM process were described as: good collaboration with oncologists; sufficient information about the disease and its treatment; time to engage in conversations about treatment; a trusting relationship with patients; and patient-centred communication. CONCLUSION: GPs may support SDM by checking the quality of a decision and by complementing and enabling the SDM process to reach high-quality decisions. This conceptualisation of the GP's supporting role in SDM may help us to understand how SDM is carried out through interprofessional collaboration and provide tools for how to adopt a role in the interprofessional SDM process.
KW - cancer
KW - decision making, shared
KW - general practice
KW - hospital treatment
KW - qualitative interview study
UR - http://www.scopus.com/inward/record.url?scp=85128160686&partnerID=8YFLogxK
U2 - 10.3399/BJGP.2021.0446
DO - 10.3399/BJGP.2021.0446
M3 - Article
C2 - 34990389
VL - 72
SP - e276-e284
JO - British journal of general practice
JF - British journal of general practice
SN - 0960-1643
IS - 717
ER -
ID: 23141521