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Table 3 Summary of main themes emerging from the focus group dataset

From: A web-based clinical decision tool to support treatment decision-making in psychiatry: a pilot focus group study with clinicians, patients and carers

Themes Applications in clinical practice Communication Conflicting priorities Record keeping and data management
Key points raised • Clinical applications in psychiatry and other chronic conditions
• Supports standardized decision making for prescribing
• Reminder to consider all treatment options
• Prompts discussion between clinicians and patients
• Boosts prescribing confidence
• Useful learning tool
• Promotes informed choice
• Enhances, but not replacement for, clinical judgment
• Does not reflect clinical assessment process
• Promotes discussion about medication side-effects
• May cause information overload
• Facilitates informed consent
• Treatment choice of patient and clinician may be at odds
• May optimise capacity, by teasing out views
• Level of collaboration may vary
• Terminology too “medicalised”
• Improved presentation will facilitate discussion
• Promotes collaboration but may cause uncertainty in decision-making
• May increase compliance
• Patient’s healthcare priorities need identifying to ensure clinicians consider them
• Promotes personalised care; but tool too disease-focused.
• Potential conflict if patients feel they are being denied recommended treatments; only available medications should be used in CDST
• Full range of CDST recommendations could be used to challenge clinical commissioners
• Good record of consultation
• Potential to link CDST to patient records
• Continually updated evidence-base
• Outcomes presented are understandable
• Concerns about data reliability
• Easy to use
• Time saving: hard to use within 10 min consultation, but pays off long term