Model voor gezamenlijke besluitvorming met kwetsbare ouderen*

Objective

To develop a model for shared decision-making with frail older patients.

Design

Online Delphi forum.

Method

We used a three-round Delphi technique to reach consensus on the structure of a model for shared decision-making with older patients. The expert panel consisted of 16 patients (round 1), and 59 professionals (rounds 1-3). In round 1, the panel of experts was asked about important steps in the process of shared decision-making and the draft model was introduced. Rounds 2 and 3 were used to adapt the model and test it for ‘importance’ and ‘feasibility’.

Results

Consensus for the dynamic shared decision-making model as a whole was achieved for both importance (91% panel agreement) and feasibility (76% panel agreement).

Conclusion

Shared decision-making with older patients is a dynamic process. It requires a continuous supportive dialogue between health care professional and patient.

Conflict of interest and financial support: none declared.