Title
Remote shared decision making through telemedicine: A systematic review of the literature
Date Issued
01 February 2022
Access level
metadata only access
Resource Type
review
Author(s)
Hartasanchez S.A.
Heen A.F.
Kunneman M.
García-Bautista A.
Hargraves I.G.
Prokop L.J.
May C.R.
Publisher(s)
Elsevier Ireland Ltd
Abstract
Objectives: To assess the extent to which shared decision making (SDM) can take place in telemedicine (remote SDM). Methods: We searched Medline, Cochrane, and Scopus from 2010 until August 7th, 2020 for articles on remote SDM in the care of any patient using any technology. We also conducted a search for telemedicine articles citing key reports on SDM outcome measures. Two reviewers independently screened titles and abstracts, reviewed full text eligible studies, and synthesized their content using thematic analysis. Results: Of the 12 eligible articles, most were European with patients with chronic disease or mental and behavioral health. 8 articles used synchronous remote SDM and 1 used asynchronous remote SDM. Themes related to interactional workability of both telemedicine technologies and SDM emerged, namely access to broadband, digital literacy, and satisfaction with the convenience of remote visits. Conclusions: Telemedicine technologies may foster virtual interactions that support remote SDM, which, in turn, may promote productive patient-clinician interactions and patient-centered care. Practice implications: Digitally-mediated consultations surged amidst the COVID-19 pandemic. The extent to which SDM frameworks developed for in-person use need any adaptation for remote SDM remains unclear. Investment in innovation, design, implementation, and effectiveness research to advance remote SDM are needed.
Start page
356
End page
365
Volume
105
Issue
2
Language
English
OCDE Knowledge area
Políticas de salud, Servicios de salud
Subjects
Publication version
Version of Record
Scopus EID
2-s2.0-85108519625
PubMed ID
Source
Patient Education and Counseling
ISSN of the container
07383991
Sponsor(s)
This research did not receive any specific grant funding from agencies in the public, commercial, or not-for-profit sectors. None of the authors have received funding from telemedicine or SDM companies.
C.R.M.?s contribution to this work was partly supported by the National Institute of Health Research North Thames Applied Research Collaborative, London, UK.
Sources of information:
Directorio de Producción Científica
Scopus