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Table 3 Themes influencing SDM in sciatica care according professionals and patients

From: Barriers and facilitators to implement shared decision making in multidisciplinary sciatica care: a qualitative study

Level

Theme (Professionals)

B

F

Theme (Patients)

B

F

Innovation (SDM)

Unclear concept of SDM

X

    

Individual professional

Poor professional-patient relationship

X

 

Professional- patient relationship

X

X

Negative (B)/ positive (F) professional’s attitude/ behavior toward SDM

X

X

Negative (B)/ positive (F) professional’s attitude/ behavior towards SDM

X

X

Lack of knowledge of the professional about SDM/ treatment options

X

 

Lack of knowledge of the professional about SDM/ treatment options

X

 
  

Lack of (B)/ sufficient (F) information provision/ explanation

X

X

Patient

Negative patient’s attitude towards SDM

X

 

Negative (B)/ positive (F) patient’s attitude towards

X

X

Lack of patient’s capabilities to decide

X

 

SDM Lack of (B)/ sufficient (F)

X

 

Pressure by patient toward professional

X

 

patient’s capabilities to decide

  
  

Lack of knowledge of patient about treatment options

X

 

Social context

Lack of inter-professional collaboration

X

 

Lack of (B)/ sufficient (F) inter-professional collaboration

X

X

Social influences of third parties

X

 

Social influences of third parties

X

 

Organizational context

Lack of tools to facilitate SDM

X

 

Lack of (B)/ sufficient (F) tools to facilitate SDM

X

X

Situational factors (e.g., lack of time)

X

 

Situational factors (e.g., lack of time)

X

 

Long waiting list influences decision process

X

 

Long (B)/ short (F) waiting list influences decision process

X

X

Poor logistics/ implementation

X

 

Conflicting information about treatment options

X

 

External environment

Environmental influences on the decision process

X

 

Environmental influences on decision process

X

X

 

Reimbursement in favor of surgery

X

 

Reimbursement in favor of surgery

X

 
  1. B barrier, F facilitator.