Communication Processes Related to Decision‐Making in Medication Management Between Healthcare Providers, Older People and Their Carers: A Systematic Review
ABSTRACT Objective To examine decision‐making between healthcare providers (HCPs), older people and their carers in relation to medication management. Methods Four databases were systematically searched up to June 2023. Two authors screened the search results. Extracted quantitative data were analys...
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| Format: | Article |
| Language: | English |
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Wiley
2025-04-01
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| Series: | Health Expectations |
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| Online Access: | https://doi.org/10.1111/hex.70252 |
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| author | Deana M. Copley Elizabeth Manias Vanessa Watkins Alison M. Hutchinson |
| author_facet | Deana M. Copley Elizabeth Manias Vanessa Watkins Alison M. Hutchinson |
| author_sort | Deana M. Copley |
| collection | DOAJ |
| description | ABSTRACT Objective To examine decision‐making between healthcare providers (HCPs), older people and their carers in relation to medication management. Methods Four databases were systematically searched up to June 2023. Two authors screened the search results. Extracted quantitative data were analysed descriptively, and qualitative data were analysed thematically. Results Fifty‐three papers reporting on 49 studies were included. A variety of research methods were utilised. Few authors provided a definition of shared decision‐making (SDM). Three major themes were identified: provider‐driven decision‐making, patient‐driven decision‐making and a shared role in decision‐making. Some older people preferred or deferred to provider‐driven decision‐making, mainly due to trust in the HCP's expertise. Other reasons for provider‐driven decision‐making were patient anxiety, declining health, lack of medical knowledge or poor communication during the clinical encounter. Evidence of patient‐driven decision‐making was often prompted by concerns about the adverse effects of medication. Most older people preferred or adopted a shared role in decision‐making. Conclusion Whilst most patients and carers preferred to engage in SDM related to medication management, at times, they felt unable to do so, deferring to provider‐driven decision‐making. There is a need for a standardised definition and measurement of SDM. Patient or Public Contribution This systematic review did not directly involve older people or carers of older people in the design or conduct of the review. However, the findings will inform a qualitative study aimed at exploring older people and their carers' experiences of medication‐related decision‐making in collaboration with their healthcare provider. Trial Registration: CRD42019124862. |
| format | Article |
| id | doaj-art-03067910c26c494eb2fb65c9ffeff36c |
| institution | OA Journals |
| issn | 1369-6513 1369-7625 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Expectations |
| spelling | doaj-art-03067910c26c494eb2fb65c9ffeff36c2025-08-20T02:26:13ZengWileyHealth Expectations1369-65131369-76252025-04-01282n/an/a10.1111/hex.70252Communication Processes Related to Decision‐Making in Medication Management Between Healthcare Providers, Older People and Their Carers: A Systematic ReviewDeana M. Copley0Elizabeth Manias1Vanessa Watkins2Alison M. Hutchinson3School of Nursing and Midwifery Deakin University Geelong AustraliaSchool of Nursing and Midwifery Monash University Clayton AustraliaSchool of Nursing and Midwifery Deakin University Geelong AustraliaSchool of Nursing and Midwifery Deakin University Geelong AustraliaABSTRACT Objective To examine decision‐making between healthcare providers (HCPs), older people and their carers in relation to medication management. Methods Four databases were systematically searched up to June 2023. Two authors screened the search results. Extracted quantitative data were analysed descriptively, and qualitative data were analysed thematically. Results Fifty‐three papers reporting on 49 studies were included. A variety of research methods were utilised. Few authors provided a definition of shared decision‐making (SDM). Three major themes were identified: provider‐driven decision‐making, patient‐driven decision‐making and a shared role in decision‐making. Some older people preferred or deferred to provider‐driven decision‐making, mainly due to trust in the HCP's expertise. Other reasons for provider‐driven decision‐making were patient anxiety, declining health, lack of medical knowledge or poor communication during the clinical encounter. Evidence of patient‐driven decision‐making was often prompted by concerns about the adverse effects of medication. Most older people preferred or adopted a shared role in decision‐making. Conclusion Whilst most patients and carers preferred to engage in SDM related to medication management, at times, they felt unable to do so, deferring to provider‐driven decision‐making. There is a need for a standardised definition and measurement of SDM. Patient or Public Contribution This systematic review did not directly involve older people or carers of older people in the design or conduct of the review. However, the findings will inform a qualitative study aimed at exploring older people and their carers' experiences of medication‐related decision‐making in collaboration with their healthcare provider. Trial Registration: CRD42019124862.https://doi.org/10.1111/hex.70252agedmedication safetymedication therapy managementmedication‐related decision‐makingolder personpatient participation |
| spellingShingle | Deana M. Copley Elizabeth Manias Vanessa Watkins Alison M. Hutchinson Communication Processes Related to Decision‐Making in Medication Management Between Healthcare Providers, Older People and Their Carers: A Systematic Review Health Expectations aged medication safety medication therapy management medication‐related decision‐making older person patient participation |
| title | Communication Processes Related to Decision‐Making in Medication Management Between Healthcare Providers, Older People and Their Carers: A Systematic Review |
| title_full | Communication Processes Related to Decision‐Making in Medication Management Between Healthcare Providers, Older People and Their Carers: A Systematic Review |
| title_fullStr | Communication Processes Related to Decision‐Making in Medication Management Between Healthcare Providers, Older People and Their Carers: A Systematic Review |
| title_full_unstemmed | Communication Processes Related to Decision‐Making in Medication Management Between Healthcare Providers, Older People and Their Carers: A Systematic Review |
| title_short | Communication Processes Related to Decision‐Making in Medication Management Between Healthcare Providers, Older People and Their Carers: A Systematic Review |
| title_sort | communication processes related to decision making in medication management between healthcare providers older people and their carers a systematic review |
| topic | aged medication safety medication therapy management medication‐related decision‐making older person patient participation |
| url | https://doi.org/10.1111/hex.70252 |
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