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Antibiotics are most often prescribed unnecessarily in primary care for treating respiratory infections, including bronchitis and sinusitis. For these common viral respiratory tract infections, qualitative studies demonstrate patient satisfaction does not depend on receiving an antibiotic; it relates to the quality of communication between the primary care provider and the patient.
Shared decision making is a communication strategy of citing clinical evidence in the application of personalized health decision making through prescriber-patient collaboration. Studies on shared decision making in antibiotic use indicate a higher level of agreement between physicians and patients on whether to initiate or delay antibiotics, leaving patients feeling more involved in their own care.
Dr. France Légaré will discuss shared decision making as a strategy to reduce unnecessary antibiotic use in primary care.
By the end of this session, participants will be able to:
- Define the process of shared decision making;
- Discuss the barriers, facilitators and knowledge gaps in implementing shared decision making in primary care;
- Identify how shared decision making can be used to discuss decisions about antibiotic use for patients with an acute respiratory tract infection.
Presenter: Dr. France Légaré
France Légaré practices family medicine in Quebec and is a professor in the Family Medicine and Emergency Medicine Department at Université Laval, Quebec. In 2005, she obtained her PhD in Population Health from the University of Ottawa. The same year, she was awarded a grant as a clinical investigator by the Fonds de la recherche en santé du Québec (FRSQ) for her research program entitled, "Health professionals in primary care: From knowledge brokers to decision brokers".
Listed as one of the top 1% most cited scientists by Clarivate Analytics, her research program aims to scale up shared decision making in healthcare. As of June 2016, she holds the title of Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation.
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