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Table 2 Five types of decisional needs

From: Decision-making and related outcomes of patients with complex care needs in primary care settings: a systematic literature review with a case-based qualitative synthesis

 

Types of decisional needs

Conditions linked to decisional needs

Prioritization

(26 cases 1210 participants)

Use of services

(22 cases; 769 participants)

Prescription

(12 cases; 460 participants)

Behaviour change

(4 cases; 267 participants)

Institutionalization

(5 cases; 982 participants)

Who

PCCN bio-psycho-social characteristics

multimorbidity (n = 23)

polypharmacy (n = 9)

social vulnerability (n = 11)

mental health issues (n = 12)

frequent user* (n = 1); under user (n = 2)*

multimorbidity (n = 17)

polypharmacy (n = 9)

social vulnerability (n = 16)

mental health issues (n = 6)

frequent user (n = 7); under user (n = 4)

multimorbidity (n = 12)

polypharmacy (n = 11)

social vulnerability (n = 9)

mental health issues (n = 8)

frequent user (n = 1)

under user (n = 1)

multimorbidity (n = 1)

polypharmacy (n = 1)

social vulnerability (n = 4)

mental health issues (n = 3)

frequent users (n = 1); under users (n = 1)

multimorbidity

(n = 2)

polypharmacy

(n = 1)

social

vulnerability

(n = 5)

mental health

issues (n = 5)

How

The decision is made in partnership or independently (decision driven by)

partnership (n = 9)

independently (n = 17)

(8 by practitioner; 9 by patient)

partnership (n = 4)

independently (n = 18)

(3 by practitioner; 13 by patient; 2 by caregiver)

all independently = (n = 12)

(8 by practitioner; 4 by patient)

all independently = (n = 4)

(3 by patient; 1 by caregiver)

all independently (n = 5)

(4 by caregiver; 1 by patient)

Where / When The decision is made during or between clinical encounter

during (n = 19)

between (n = 7)

during (n = 7)

between (n = 15)

during (n = 8)

between (n = 4)

all between (n = 4)

all between (n = 5)

  1. *These participants report an inappropriate use of services (overuse or underuse)