European Psychiatry (Jan 2022)
Clinical decision-making style preferences of European psychiatrists: Results from the Ambassadors survey in 38 countries
- Martina Rojnic Kuzman,
- Mike Slade,
- Bernd Puschner,
- Elisabetta Scanferla,
- Zarko Bajic,
- Philippe Courtet,
- Jerzy Samochowiec,
- Celso Arango,
- Simavi Vahip,
- Maris Taube,
- Peter Falkai,
- Geert Dom,
- Lubomira Izakova,
- Bernardo Carpiniello,
- Marcella Bellani,
- Andrea Fiorillo,
- Oleg Skugarevsky,
- Alma Mihaljevic-Peles,
- Diogo Telles-Correia,
- Filipa Novais,
- Pavel Mohr,
- Johannes Wancata,
- Martin Hultén,
- Eka Chkonia,
- Judit Balazs,
- Julian Beezhold,
- Lars Lien,
- Goran Mihajlovic,
- Mirjana Delic,
- Gabriela Stoppe,
- Goran Racetovic,
- Dragan Babic,
- Ramune Mazaliauskiene,
- Doina Cozman,
- Simon Hjerrild,
- Jana Chihai,
- William Flannery,
- Tarja Melartin,
- Nataliya Maruta,
- Armen Soghoyan,
- Philip Gorwood
Affiliations
- Martina Rojnic Kuzman
- ORCiD
- Department of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb and School of Medicine, University of Zagreb, Zagreb, Croatia
- Mike Slade
- ORCiD
- Institute of Mental Health, School of Health Sciences, University of Nottingham, Nottingham, United Kingdom Health and Community Participation Division, Faculty of Nursing and Health Sciences, Nord University, Namsos, Norway
- Bernd Puschner
- Department of Psychiatry II, Ulm University, Ulm, Germany
- Elisabetta Scanferla
- ORCiD
- ED 450, Université de Paris, Paris, France GHU Paris Psychiatry and Neuroscience, Clinic of Mental Illnesses & Brain Disorders, 75014, Paris, France
- Zarko Bajic
- ORCiD
- Research Unit “Dr. Mirko Grmek”, Psychiatric Clinic “Sveti Ivan”, Zagreb, Croatia
- Philippe Courtet
- Department of Emergency Psychiatry and Post Acute Care, Hôpital Lapeyronie, CHU Montpellier, Montpellier, France Council of National Psychiatric Associations, EPA, Strasbourg, France
- Jerzy Samochowiec
- ORCiD
- Council of National Psychiatric Associations, EPA, Strasbourg, France Pomeranian Medical University in Szczecin, Szczecin, Poland
- Celso Arango
- ORCiD
- Council of National Psychiatric Associations, EPA, Strasbourg, France Department of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, School of Medicine, IiSGM, CIBERSAM, Complutense University of Madrid, Madrid, Spain
- Simavi Vahip
- ORCiD
- Council of National Psychiatric Associations, EPA, Strasbourg, France Affective Disorders Unit, Department of Psychiatry, Ege University Medicine Faculty, Izmir, Turkey
- Maris Taube
- Council of National Psychiatric Associations, EPA, Strasbourg, France Department of Psychiatry and Narcology, Riga Centre of Psychiatry and Narcology, Riga Stradiņš University, Riga, Latvia
- Peter Falkai
- Department of Psychiatry and Psychotherapy, Ludwig-Maximilian-University Munich, Munich, Germany
- Geert Dom
- Council of National Psychiatric Associations, EPA, Strasbourg, France Collaborative Antwerp Psychiatric Research Institute (CAPRI), University of Antwerp (UAntwerp), Antwerp, Belgium
- Lubomira Izakova
- Council of National Psychiatric Associations, EPA, Strasbourg, France Department of Psychiatry, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovakia
- Bernardo Carpiniello
- ORCiD
- Council of National Psychiatric Associations, EPA, Strasbourg, France University of Cagliari and Psychiatry Unit, Section of Psychiatry, Department of Medical Sciences and Public Health, University Hospital, Cagliari, Italy
- Marcella Bellani
- ORCiD
- Department of Neurosciences Biomedicine and Movement Sciences, University of Verona, Verona, Italy EPA Sections, Strasbourg, France
- Andrea Fiorillo
- ORCiD
- Department of Psychiatry, University of Campania “L. Vanvitelli”, Naples, Italy
- Oleg Skugarevsky
- Council of National Psychiatric Associations, EPA, Strasbourg, France Department of Psychiatry and Medical Psychology, Belarusian State Medical University, Minsk, Belarus
- Alma Mihaljevic-Peles
- Department of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb and School of Medicine, University of Zagreb, Zagreb, Croatia Council of National Psychiatric Associations, EPA, Strasbourg, France
- Diogo Telles-Correia
- EPA Sections, Strasbourg, France Clinica Universitária de Psiquiatria e Psicologia Médica, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
- Filipa Novais
- ORCiD
- EPA Sections, Strasbourg, France Clinica Universitária de Psiquiatria e Psicologia Médica, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
- Pavel Mohr
- ORCiD
- Council of National Psychiatric Associations, EPA, Strasbourg, France Clinical Department, National Institute of Mental Health, Klecany, Czechia Third School of Medicine, Charles University, Prague, Czech Republic
- Johannes Wancata
- ORCiD
- Council of National Psychiatric Associations, EPA, Strasbourg, France Division of Social Psychiatry, Medical University of Vienna, Vienna, Austria
- Martin Hultén
- Council of National Psychiatric Associations, EPA, Strasbourg, France Psychiatric Neuromodulation Unit (PNU), Department of Clinical Sciences, Lund, Faculty of Medicine, Lund University, Lund, Sweden
- Eka Chkonia
- ORCiD
- Council of National Psychiatric Associations, EPA, Strasbourg, France Department of Psychiatry, Tbilisi State Medical University, Tbilisi, Georgia
- Judit Balazs
- ORCiD
- Council of National Psychiatric Associations, EPA, Strasbourg, France Department of Developmental and Clinical Child Psychology, Institute of Psychology, Eötvös Loránd University, Budapest, Hungary Department of Psychology, Oslo New University College, Oslo, Norway
- Julian Beezhold
- ORCiD
- Norwich Medical School, University of East Anglia, Norwich, United Kingdom
- Lars Lien
- ORCiD
- Council of National Psychiatric Associations, EPA, Strasbourg, France Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Hamar, Norway
- Goran Mihajlovic
- Council of National Psychiatric Associations, EPA, Strasbourg, France Clinic for Psychiatry, University of Kragujevac, Kragujevac, Serbia
- Mirjana Delic
- Center for Treatment of Drug Addiction, University Psychiatric Clinic, Ljubljana, Slovenia
- Gabriela Stoppe
- EPA Sections, Strasbourg, France MentAge Basel and Medical Faculty, University of Basel, Basel, Switzerland
- Goran Racetovic
- Council of National Psychiatric Associations, EPA, Strasbourg, France Community Mental Health Center, Health Center Prijedor, Prijedor, Bosnia and Herzegovina
- Dragan Babic
- Council of National Psychiatric Associations, EPA, Strasbourg, France Department of Psychiatry, University Hospital Mostar, Mostar, Bosnia and Herzegovina School of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina
- Ramune Mazaliauskiene
- ORCiD
- Council of National Psychiatric Associations, EPA, Strasbourg, France Psychiatric Clinic, Lithuanian Health Sciences University Kaunas Hospital, Lithuanian Health Sciences University, Kaunas, Lithuania
- Doina Cozman
- ORCiD
- Council of National Psychiatric Associations, EPA, Strasbourg, France Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
- Simon Hjerrild
- ORCiD
- Council of National Psychiatric Associations, EPA, Strasbourg, France Psychosis Research Unit, Aarhus University Hospital, Aarhus, Denmark
- Jana Chihai
- ORCiD
- Council of National Psychiatric Associations, EPA, Strasbourg, France Department of Mental Health, Medical Psychology and Psychotherapy, Medical Psychology State Medical and Pharmaceutical University “Nicolae Testemitanu” from Republic of Moldova, Kishinev, Moldova
- William Flannery
- ORCiD
- Council of National Psychiatric Associations, EPA, Strasbourg, France Department of Adult Psychiatry, Mater Misericordiae University Hospital, Dublin, Ireland
- Tarja Melartin
- Council of National Psychiatric Associations, EPA, Strasbourg, France Department of Psychiatry, Helsinki University Central Hospital, Helsinki, Finland
- Nataliya Maruta
- ORCiD
- Council of National Psychiatric Associations, EPA, Strasbourg, France State Institution “Institute of Neurology, Psychiatry and Narcology of the NAMS of Ukraine”, Kharkiv, Ukraine
- Armen Soghoyan
- Council of National Psychiatric Associations, EPA, Strasbourg, France Psychosocial Recovery Center, Yerevan State Medical University after Mkhitar Heraci, Yerevan, Armenia
- Philip Gorwood
- ORCiD
- ED 450, Université de Paris, Paris, France GHU Paris Psychiatry and Neuroscience, Clinic of Mental Illnesses & Brain Disorders, 75014, Paris, France
- DOI
- https://doi.org/10.1192/j.eurpsy.2022.2330
- Journal volume & issue
-
Vol. 65
Abstract
AbstractBackgroundWhile shared clinical decision-making (SDM) is the preferred approach to decision-making in mental health care, its implementation in everyday clinical practice is still insufficient. The European Psychiatric Association undertook a study aiming to gather data on the clinical decision-making style preferences of psychiatrists working in Europe.MethodsWe conducted a cross-sectional online survey involving a sample of 751 psychiatrists and psychiatry specialist trainees from 38 European countries in 2021, using the Clinical Decision-Making Style – Staff questionnaire and a set of questions regarding clinicians’ expertise, training, and practice.ResultsSDM was the preferred decision-making style across all European regions ([central and eastern Europe, CEE], northern and western Europe [NWE], and southern Europe [SE]), with an average of 73% of clinical decisions being rated as SDM. However, we found significant differences in non-SDM decision-making styles: participants working in NWE countries more often prefer shared and active decision-making styles rather than passive styles when compared to other European regions, especially to the CEE. Additionally, psychiatry specialist trainees (compared to psychiatrists), those working mainly with outpatients (compared to those working mainly with inpatients) and those working in community mental health services/public services (compared to mixed and private settings) have a significantly lower preference for passive decision-making style.ConclusionsThe preferences for SDM styles among European psychiatrists are generally similar. However, the identified differences in the preferences for non-SDM styles across the regions call for more dialogue and educational efforts to harmonize practice across Europe.
Keywords
- Clinical decision-making
- Europe
- mental health
- professional-patient relations
- psychiatry
- shared decision-making
