Abstract
Background: To systematically analyze the global development trends and research focuses of shared decision-making (SDM) studies as a reference for researchers.Methods: We conducted a systematic search of the Web of Science (WoS) Core Collection on April 17, 2019, to retrieve studies related to SDM published from 2009 to 2018. VOSviewer (1.6.10), CiteSpace (5.4.R1) and Excel 2016 were used to analyze key features of SDM studies, including annual output, countries/regions, organizations, journals, authors, references, research hot-spots, and frontiers.Results: Up to April 17, 2019, a total of 6,629 studies on SDM were identified as published between 2009 and 2018. The United States participated in the most studies (n = 3,118), with the University of California-San Francisco ranking first (n = 183). Patient Education and Counseling [impact factor (IF) 2017 = 2.785] published the most studies (n = 257). Legare F participated in the most studies (n = 101), and the paper “Charles C, 1997, Soc Sci Med, V44, P681” occupied the highest co-citation (n = 657) position. The research hotspots and frontiers included “Informed consent,” “Surgery,” “Depression,” “Older adult,” and “Patient-centered care.”Conclusion: The number of studies concerning SDM has continued to increase since 2009, with the United States leading the field. The landscape of the basis of SDM included mainly concept, practice framework and effect assessment of SDM. “Informed consent,” “Surgery,” “Depression,” “Older adult,” and “Patient-centered care” reflected the latest research focuses, and should receive more attention.
Highlights
Evidence-based medicine revolves around the concept that all decision-making regarding health should be based on best clinical evidence available, while emphasizing clinician experience and patient preferences and values [1, 2]
Using CiteSpace to explore keywords with strong burst strength, we found that these keywords covered many aspects of Shared decision-making (SDM), including “older adult” and “children;” “depression” and “schizophrenia;” “informed consent,” “surgery,” “patient participation” and “patient-centered care,” and “scale,” “framework” and “qualitative research.”
We found a rapidly increasing trend in SDM studies published between 2009 and 2018, which is consistent with the findings of Blanc et al [12] Among the top 10 countries/regions, the United States (n = 3,118) participated in by far the most papers and had an absolute advantage in terms of the number of studies, FIGURE 4 | The distribution of authors (A, T = 22) and co-cited references (B, T = 152) of shared decision-making studies (The size of node represents the number of studies or co-cited number, and the thickness of line represents the degree of cooperation or co-cited strength)
Summary
Evidence-based medicine revolves around the concept that all decision-making regarding health should be based on best clinical evidence available, while emphasizing clinician experience and patient preferences and values [1, 2]. Shared decision-making (SDM) is a new practical model applied to the field of healthcare that refers to clinicians working together with patients to make all decisions related to their health, including prevention, diagnosis, and treatment of conditions based on available evidence [4, 5]. Several studies have showed SDM’s advantages; for example, a Cochrane review [6] of more than 100 trials showed that SDM led to better outcomes in the decision-making and post-decision processes, as well as the intervention effect. To systematically analyze the global development trends and research focuses of shared decision-making (SDM) studies as a reference for researchers
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