Primary care physicians' decision-making processes in the context of multimorbidity

Detalhes bibliográficos
Autor(a) principal: Silvério Rodrigues, David
Data de Publicação: 2019
Outros Autores: Sousa, Paulo Faria, Basílio, Nuno, Antunes, Ana, Antunes, Maria da Luz, Santos, Maria Isabel, Heleno, Bruno
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/77020
Resumo: © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
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spelling Primary care physicians' decision-making processes in the context of multimorbidityprotocol of a systematic review and thematic synthesis of qualitative research© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.INTRODUCTION: Good patient outcomes correlate with the physicians' capacity for good clinical judgement. Multimorbidity is common and it increases uncertainty and complexity in the clinical encounter. However, healthcare systems and medical education are centred on individual diseases. In consequence, recognition of the patient as the centre of the decision-making process becomes even more difficult. Research in clinical reasoning and medical decision in a real-world context is needed. The aim of the present review is to identify and synthesise available qualitative evidence on primary care physicians' perspectives, views or experiences on decision-making with patients with multimorbidity. METHODS AND ANALYSIS: This will be a systematic review of qualitative research where PubMed, CINAHL, PsycINFO, Embase and Web of Science will be searched, supplemented with manual searches of reference lists of included studies. Qualitative studies published in Portuguese, Spanish and English language will be included, with no date limit. Studies will be eligible when they evaluate family physicians' perspectives, opinions or perceptions on decision-making for patients with multimorbidity in primary care. The methodological quality of studies selected for retrieval will be assessed by two independent reviewers before inclusion in the review using the Critical Appraisal Skills Programme (CASP) tool. Thematic synthesis will be used to identify key categories and themes from the qualitative data. The Confidence in the Evidence from Reviews of Qualitative research approach will be used to assess how much confidence to place in findings from the qualitative evidence synthesis. ETHICS AND DISSEMINATION: This review will use published data. No ethical issues are foreseen. The findings will be disseminated to the medical community via journal publication and conference presentation(s). PROSPERO REGISTRATION NUMBER: ID 91978.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Centro de Estudos de Doenças Crónicas (CEDOC)RUNSilvério Rodrigues, DavidSousa, Paulo FariaBasílio, NunoAntunes, AnaAntunes, Maria da LuzSantos, Maria IsabelHeleno, Bruno2019-07-30T22:43:33Z2019-04-032019-04-03T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/77020eng2158-2440PURE: 12692239https://doi.org/10.1136/bmjopen-2018-023832info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:35:02Zoai:run.unl.pt:10362/77020Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:35:43.580196Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Primary care physicians' decision-making processes in the context of multimorbidity
protocol of a systematic review and thematic synthesis of qualitative research
title Primary care physicians' decision-making processes in the context of multimorbidity
spellingShingle Primary care physicians' decision-making processes in the context of multimorbidity
Silvério Rodrigues, David
title_short Primary care physicians' decision-making processes in the context of multimorbidity
title_full Primary care physicians' decision-making processes in the context of multimorbidity
title_fullStr Primary care physicians' decision-making processes in the context of multimorbidity
title_full_unstemmed Primary care physicians' decision-making processes in the context of multimorbidity
title_sort Primary care physicians' decision-making processes in the context of multimorbidity
author Silvério Rodrigues, David
author_facet Silvério Rodrigues, David
Sousa, Paulo Faria
Basílio, Nuno
Antunes, Ana
Antunes, Maria da Luz
Santos, Maria Isabel
Heleno, Bruno
author_role author
author2 Sousa, Paulo Faria
Basílio, Nuno
Antunes, Ana
Antunes, Maria da Luz
Santos, Maria Isabel
Heleno, Bruno
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Centro de Estudos de Doenças Crónicas (CEDOC)
RUN
dc.contributor.author.fl_str_mv Silvério Rodrigues, David
Sousa, Paulo Faria
Basílio, Nuno
Antunes, Ana
Antunes, Maria da Luz
Santos, Maria Isabel
Heleno, Bruno
description © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
publishDate 2019
dc.date.none.fl_str_mv 2019-07-30T22:43:33Z
2019-04-03
2019-04-03T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/77020
url http://hdl.handle.net/10362/77020
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2158-2440
PURE: 12692239
https://doi.org/10.1136/bmjopen-2018-023832
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
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