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

dc.contributor.authorRojnic Kuzman, Martina
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.contributor.authorArango, Celso
dc.contributor.authorVahip, Simavi
dc.contributor.authorTaube, Maris
dc.contributor.authorFalkai, Peter
dc.contributor.authorDom, Geert
dc.contributor.authorIzakova, Lubomira
dc.contributor.authorCarpiniello, Bernardo
dc.contributor.authorBellani, Marcella
dc.contributor.authorFiorillo, Andrea
dc.contributor.authorSkugarevsky, Oleg
dc.contributor.authorMihaljevic-Peles, Alma
dc.contributor.authorTelles-Correia, Diogo
dc.contributor.authorNovais, Filipa
dc.contributor.authorMohr, Pavel
dc.contributor.authorWancata, Johannes
dc.contributor.authorHultén, Martin
dc.contributor.authorChkonia, Eka
dc.contributor.authorBalazs, Judit
dc.contributor.authorBeezhold, Julian
dc.contributor.authorLien, Lars
dc.contributor.authorMihajlovic, Goran
dc.contributor.authorDelic, Mirjana
dc.contributor.authorStoppe, Gabriela
dc.contributor.authorRacetovic, Goran
dc.contributor.authorBabic, Dragan
dc.contributor.authorMazaliauskiene, Ramune
dc.contributor.authorCozman, Doina
dc.contributor.authorHjerrild, Simon
dc.contributor.authorChihai, Jana
dc.contributor.authorFlannery, William
dc.contributor.authorMelartin, Tarja
dc.contributor.authorMaruta, Nataliya
dc.contributor.authorSoghoyan, Armen
dc.contributor.authorGorwood, Philip
dc.contributor.institutionDepartment of Psychiatry and Narcology
dc.date.accessioned2023-01-20T17:30:01Z
dc.date.available2023-01-20T17:30:01Z
dc.date.issued2022-10-21
dc.descriptionPublisher Copyright: ©
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
dc.description.statusPeer reviewed
dc.format.extent533334
dc.identifier.citationRojnic Kuzman, M, Slade, M, Puschner, B, Scanferla, E, Bajic, Z, Courtet, P, Samochowiec, J, Arango, C, Vahip, S, Taube, M, Falkai, P, Dom, G, Izakova, L, Carpiniello, B, Bellani, M, Fiorillo, A, Skugarevsky, O, Mihaljevic-Peles, A, Telles-Correia, D, Novais, F, Mohr, P, Wancata, J, Hultén, M, Chkonia, E, Balazs, J, Beezhold, J, Lien, L, Mihajlovic, G, Delic, M, Stoppe, G, Racetovic, G, Babic, D, Mazaliauskiene, R, Cozman, D, Hjerrild, S, Chihai, J, Flannery, W, Melartin, T, Maruta, N, Soghoyan, A & Gorwood, P 2022, 'Clinical decision-making style preferences of European psychiatrists : Results from the Ambassadors survey in 38 countries', European Psychiatry, vol. 65, no. 1, e75. https://doi.org/10.1192/j.eurpsy.2022.2330
dc.identifier.doi10.1192/j.eurpsy.2022.2330
dc.identifier.issn0924-9338
dc.identifier.otherMendeley: 3e1a6e84-3dfb-3b95-8360-06477b6d6fd7
dc.identifier.otherunpaywall: 10.1192/j.eurpsy.2022.2330
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/10161
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85141278252&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofEuropean Psychiatry
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectClinical decision-making
dc.subjectEurope
dc.subjectmental health
dc.subjectprofessional-patient relations
dc.subjectpsychiatry
dc.subjectshared decision-making
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectPsychiatry and Mental health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleClinical decision-making style preferences of European psychiatrists : Results from the Ambassadors survey in 38 countriesen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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