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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 by Silvério Rodrigues, David; Sousa, Paulo Faria; Basílio, Nuno; Antunes, Ana; Antunes, Maria da Luz; Santos, Maria Isabel; Heleno, Bruno is a Medicine article available to read on EtoBox.
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## Introduction Good patient outcomes correlate with the physicians’ capacity for good clinical judgement. 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
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- Author
- Silvério Rodrigues, David; Sousa, Paulo Faria; Basílio, Nuno; Antunes, Ana; Antunes, Maria da Luz; Santos, Maria Isabel; Heleno, Bruno
- Publisher
- BMJ; BMJ Publishing Group; London: BMJ Publishing (ISSN 2044-6055)
- Published
- 2019
- Language
- EN
- Field
- Medicine (Health Sciences)