Identifying barriers to shared decision‐making about bariatric surgery in two large health systems
Authors' conclusion
Health systems face numerous barriers to SDM around bariatric surgery, and these can be easily identified and prioritized by multistakeholder teams. Future research should seek to identify effective strategies to address these common barriers.
Study context
- Population
- Multidisciplinary teams in two large US health care systems implementing shared decision-making (SDM) around bariatric surgery2 health systems
- Outcome
- Identification and prioritization of barriers to SDM around bariatric surgery
Methodological detailsmultidisciplinary teams, two US health care systems, Nominal group process: generation of multilevel barriers, round-robin recording, facilitated discussion, selection and ranking by importance and feasibility to address
- Multidisciplinary teams
- Two US health care systems
- Nominal group process: generation of multilevel barriers, round-robin recording, facilitated discussion, selection and ranking by importance and feasibility to address
Main finding
As reported in the abstract
- Health system 1: barriers identified
- 13
- Health system 1: barriers prioritized as most important and feasible to address
- 5
- Health system 2: barriers identified
- 14
- Health system 2: barriers prioritized
- 6
- Barriers commonly prioritized by both systems: lack of insurance coverage; lack of understanding of insurance coverage; lack of organizational prioritization of SDM; lack of knowledge about bariatric surgery; lack of interdepartmental clarity between primary and specialty care; limited training on SDM conversations and tools
- 6
Original publication
Identifying barriers to shared decision‐making about bariatric surgery in two large health systems. Obesity (Silver Spring). Published 12 January 2023. doi:10.
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