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Primary care physicians’ decision-making processes in the context of multimorbidity: protocol of a systematic review and thematic synthesis of qualitative research

2019-04Journal article Open access
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dc.contributor.authorSilvério-Rodrigues, David
dc.contributor.authorSousa, Paulo Faria
dc.contributor.authorBasílio, Nuno
dc.contributor.authorAntunes, Ana
dc.contributor.authorAntunes, Maria Da Luz
dc.contributor.authorSantos, Maria Isabel
dc.contributor.authorHeleno, Bruno
dc.date.accessioned2019-05-13T16:05:10Z
dc.date.available2019-05-13T16:05:10Z
dc.date.issued2019-04
dc.description.abstractIntroduction: Good patient outcomes correlate with the physicians' capacity for good clinical judgment. 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. The 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSilvério Rodrigues D, Sousa PF, Basílio N, Antunes A, Antunes ML, Santos MI, et al. Primary care physicians' decision-making processes in the context of multimorbidity: protocol of a systematic review and thematic synthesis of qualitative research. BMJ Open. 2019;9(4):e023832.pt_PT
dc.identifier.doi10.1136/bmjopen-2018-023832pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/9986
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMJ Publishing Grouppt_PT
dc.relation.publisherversionhttps://bmjopen.bmj.com/content/9/4/e023832.longpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectDecision makingpt_PT
dc.subjectMultimorbiditypt_PT
dc.subjectPrimary carept_PT
dc.subjectQualitative researchpt_PT
dc.titlePrimary care physicians’ decision-making processes in the context of multimorbidity: protocol of a systematic review and thematic synthesis of qualitative researchpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue4pt_PT
oaire.citation.startPagee023832pt_PT
oaire.citation.titleBMJ Openpt_PT
oaire.citation.volume9pt_PT
person.familyNameAntunes
person.givenNameMaria Luz
person.identifier2087122
person.identifier.ciencia-idB111-6F38-5904
person.identifier.orcid0000-0003-0942-7601
person.identifier.ridB-8661-2015
person.identifier.scopus-author-id57202291460
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationdce3e466-ad17-4bea-8b95-4a5b9bb22910
relation.isAuthorOfPublication.latestForDiscoverydce3e466-ad17-4bea-8b95-4a5b9bb22910

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