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

Rodrigues, David Silvério; Sousa, Paulo Faria; Basílio, Nuno; Antunes, Ana; Antunes, Maria Da Luz; Santos, Maria Isabel; Heleno, Bruno

http://hdl.handle.net/10400.12/6989

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Authors

Rodrigues, David Silvério

Sousa, Paulo Faria

Basílio, Nuno

Antunes, Ana

Antunes, Maria Da Luz

Santos, Maria Isabel

Heleno, Bruno

Abstract(s)

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.