Themes | Applications in clinical practice | Communication | Conflicting priorities | Record keeping and data management |
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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 |