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Physicians as Part of the Solution? Community-Based Participatory Research as a Way to Get Shared Decision Making into Practice

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ABSTRACT

Although support among policy makers and academics for the wide scale adoption of shared decision making (SDM) is growing, actual implementation is slow, and faces many challenges. Extensive systemic barriers exist that prevent physicians from being able to champion SDM and lead practice change. In other areas of public health where implementation has been a challenge, community-based participatory research (CBPR) has effectively engaged resistant stakeholders to improve practice and the delivery of care. Might CBPR, defined broadly as research that engages participants in the conception, design, and implementation of relevant health programs, be a more effective way to engage physicians, patients, and managers in the implementation process? Consequently, we argue that adopting a participatory approach may help to overcome recognized barriers to progress in this area.

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Conflict of Interest

The authors declare no conflict of interest.

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Authors and Affiliations

  1. The Dartmouth Center for Health Care Delivery Science, Dartmouth College, 37 Dewey Field Road, Hanover, NH, 03755, USA

    Stuart W. Grande MPA, PhD & Glyn Elwyn FRCGP, PhD

  2. Department of Psychology, University of Hertfordshire, College Lane Campus, Hatfield, AL10 9AB, UK

    Marie-Anne Durand CPsychol, PhD

  3. The Dartmouth Institute for Health Policy and Clinical Practice, The Geisel School of Medicine at Dartmouth College, 35 Centerra Pkwy, Lebanon, NH, USA

    Elliott S. Fisher MPH, MD & Glyn Elwyn FRCGP, PhD

  4. The Cochrane Institute for Primary Care and Public Health, Cardiff University, Cardiff, UK

    Glyn Elwyn FRCGP, PhD

Authors
  1. Stuart W. Grande MPA, PhD
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  2. Marie-Anne Durand CPsychol, PhD
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  3. Elliott S. Fisher MPH, MD
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  4. Glyn Elwyn FRCGP, PhD
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Corresponding author

Correspondence to Glyn Elwyn FRCGP, PhD.

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Grande, S.W., Durand, MA., Fisher, E.S. et al. Physicians as Part of the Solution? Community-Based Participatory Research as a Way to Get Shared Decision Making into Practice. J GEN INTERN MED 29, 219–222 (2014). https://doi.org/10.1007/s11606-013-2602-2

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  • DOI: https://doi.org/10.1007/s11606-013-2602-2

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