Clinical decision-making style preferences of European psychiatrists: Results from the Ambassadors survey in 38 countries

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dc.authoridArango, Celso/0000-0003-3382-4754
dc.authoridMohr, Pavel/0000-0002-9851-3271
dc.authoridSlade, Mike/0000-0001-7020-3434
dc.authoridSamochowiec, Jerzy/0000-0003-1438-583X
dc.authorscopusid57222367374
dc.authorscopusid7101725583
dc.authorscopusid8285080200
dc.authorscopusid57218607981
dc.authorscopusid12762005300
dc.authorscopusid57217339540
dc.authorscopusid7003699936
dc.authorwosidNovais, Filipa/HJA-3433-2022
dc.authorwosidArango, Celso/AAZ-8314-2021
dc.authorwosidSlade, Mike/C-1641-2010
dc.authorwosidMohr, Pavel/R-3020-2016
dc.authorwosidSamochowiec, Jerzy/G-8175-2014
dc.contributor.authorKuzman, Martina Rojnic
dc.contributor.authorSlade, Mike
dc.contributor.authorPuschner, Bernd
dc.contributor.authorScanferla, Elisabetta
dc.contributor.authorBajic, Zarko
dc.contributor.authorCourtet, Philippe
dc.contributor.authorSamochowiec, Jerzy
dc.date.accessioned2023-01-12T20:05:07Z
dc.date.available2023-01-12T20:05:07Z
dc.date.issued2022
dc.departmentN/A/Departmenten_US
dc.description.abstractBackground While shared clinical decision-making (SDM) is the preferred approach to decision-making in mental health care, its implementation in everyday clinical practice is still insufficient. The European Psychiatric Association undertook a study aiming to gather data on the clinical decision-making style preferences of psychiatrists working in Europe. Methods We conducted a cross-sectional online survey involving a sample of 751 psychiatrists and psychiatry specialist trainees from 38 European countries in 2021, using the Clinical Decision-Making Style - Staff questionnaire and a set of questions regarding clinicians' expertise, training, and practice. Results SDM was the preferred decision-making style across all European regions ([central and eastern Europe, CEE], northern and western Europe [NWE], and southern Europe [SE]), with an average of 73% of clinical decisions being rated as SDM. However, we found significant differences in non-SDM decision-making styles: participants working in NWE countries more often prefer shared and active decision-making styles rather than passive styles when compared to other European regions, especially to the CEE. Additionally, psychiatry specialist trainees (compared to psychiatrists), those working mainly with outpatients (compared to those working mainly with inpatients) and those working in community mental health services/public services (compared to mixed and private settings) have a significantly lower preference for passive decision-making style. Conclusions The preferences for SDM styles among European psychiatrists are generally similar. However, the identified differences in the preferences for non-SDM styles across the regions call for more dialogue and educational efforts to harmonize practice across Europe.en_US
dc.description.sponsorshipEuropean Psychiatry Association (EPA); NIHR Nottingham Biomedical Research Centreen_US
dc.description.sponsorshipThis research received no grant funding from any external agency, commercial or not-for-profit sector, but was financially supported by the European Psychiatry Association (EPA). M.S. acknowledges the support of the NIHR Nottingham Biomedical Research Centre.en_US
dc.identifier.doi10.1192/j.eurpsy.2022.2330
dc.identifier.issn0924-9338
dc.identifier.issn1778-3585
dc.identifier.issue1en_US
dc.identifier.pmid36266742en_US
dc.identifier.scopus2-s2.0-85141278252en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1192/j.eurpsy.2022.2330
dc.identifier.urihttps://hdl.handle.net/11454/77851
dc.identifier.volume65en_US
dc.identifier.wosWOS:000884259100001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherCambridge Univ Pressen_US
dc.relation.ispartofEuropean Psychiatryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectClinical decision-makingen_US
dc.subjectEuropeen_US
dc.subjectmental healthen_US
dc.subjectprofessional-patient relationsen_US
dc.subjectpsychiatryen_US
dc.subjectshared decision-makingen_US
dc.subjectSevere Mental-Illnessen_US
dc.subjectHealth-Careen_US
dc.subjectPeopleen_US
dc.subjectPerceptionsen_US
dc.subjectRecoveryen_US
dc.titleClinical decision-making style preferences of European psychiatrists: Results from the Ambassadors survey in 38 countriesen_US
dc.typeArticleen_US

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