Proença-Portugal Mafalda, Heleno Bruno, Dias Sónia, Gama Ana, Baptista Sofia
NOVA Medical School, Universidade NOVA de Lisboa, Lisbon, Portugal.
USF da Baixa, ULS São José, Lisbon, Portugal.
BMC Med Inform Decis Mak. 2025 Jun 2;25(1):202. doi: 10.1186/s12911-025-03044-1.
Decision aids (DA) are evidence-based tools that support health-related decisions. Despite their recognised value, the use of DAs in primary care remains modest. In Portugal, clinical guidelines focus on clinical decision-making with minimal patient engagement. Adapting international DAs to the Portuguese context could be an efficient way to support the transition to shared decision-making. Understanding general practitioners' (GPs) awareness and perceptions of DAs is essential before evaluating their willingness to adopt these tools for specific clinical problems.
To explore Portuguese GPs' perceptions of DAs and their implementation in primary care.
Qualitative study with GPs and GP trainees in Portugal. Seven online focus groups were conducted with 33 GPs and GP trainees selected through purposive sampling. Data were analysed using deductive content analysis.
Most participants initially confused DAs with clinical decision support tools; only one recognised them as aids for shared decision-making. After clarification, GPs expressed favourable attitudes and believed that patients were willing to use DAs. Key barriers to adoption included limited funding, time constraints, and the lack of Portuguese translations. Facilitators involved system integration and localisation. Priority topics centred on prevention (screening, statin use, vaccines, contraception, lifestyle changes) and specific medications (antibiotics, hormone replacement, psychotropics).
Although unfamiliar to most participants, integrating DAs in primary care was well received, and these tools may provide added value in improving the quality of health decisions.
Not applicable.
决策辅助工具（DA）是支持健康相关决策的循证工具。尽管其价值已得到认可，但在初级保健中DA的使用仍然有限。在葡萄牙，临床指南侧重于临床决策，患者参与度极低。将国际DA适用于葡萄牙的情况可能是支持向共同决策过渡的有效途径。在评估全科医生（GP）采用这些工具解决特定临床问题的意愿之前，了解他们对DA的认识和看法至关重要。
探讨葡萄牙全科医生对DA的看法及其在初级保健中的应用。
对葡萄牙的全科医生和全科医生实习生进行定性研究。通过目的抽样选取了33名全科医生和全科医生实习生，进行了7次在线焦点小组讨论。使用演绎性内容分析法对数据进行分析。
大多数参与者最初将DA与临床决策支持工具混淆；只有一人将其视为共同决策的辅助工具。经过澄清后，全科医生表达了积极的态度，并认为患者愿意使用DA。采用的主要障碍包括资金有限、时间限制以及缺乏葡萄牙语翻译。促进因素包括系统整合和本地化。优先主题集中在预防（筛查、他汀类药物使用、疫苗、避孕、生活方式改变）和特定药物（抗生素、激素替代、精神药物）。
尽管大多数参与者并不熟悉，但在初级保健中整合DA受到了好评，这些工具可能会为提高健康决策质量提供附加价值。
不适用。
