Shared decision-making in emergency departments: context sensitivity through divergent discourses

Melissa Miao, Andrew Georgiou*, Maria R. Dahm, Julie Li, Judith Thomas

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

3 Citations (Scopus)
16 Downloads (Pure)


Patient-centred care and the empowerment of patients through shared clinical decision-making is a key goal of healthcare systems internationally. The Emergency Department is one of the first opportunities for shared decision-making to occur, with information exchanged between patient and clinician, between clinical disciplines, across the continuum of care, and between clinicians and ancillary departments including radiology and pathology laboratories. The successful development and implementation of sustainable health information technology (HIT) to support shared decision-making in Emergency care requires an understanding of the factors affecting this context. From a purposive, maximum variation sample of clinicians and a convenience sample of patients across three metropolitan and regional Emergency Departments in Australia, we identified three divergent discourses from an in-depth qualitative exploration of issues around shared decision-making. This allowed us to identify unanticipated factors affecting patient-centred care to inform context-sensitive implementation of HIT in the Emergency Department.

Original languageEnglish
Title of host publicationContext sensitive health informatics
Subtitle of host publicationsustainability in dynamic ecosystems
EditorsRomaric Marcilly, Craig E. Kuziemsky, Christian Nohr, Sylvia Pelayo
Place of PublicationAmsterdam
PublisherIOS Press
Number of pages6
ISBN (Electronic)9781643680057
ISBN (Print)9781643680040
Publication statusPublished - Aug 2019
EventContext Sensitive Health Informatics Conference, CSHI 2019 - Lille, France
Duration: 23 Aug 201924 Aug 2019

Publication series

NameStudies in Health Technology and Informatics
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365


ConferenceContext Sensitive Health Informatics Conference, CSHI 2019

Bibliographical note

Copyright the Author(s) and IOS Press 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.


  • Emergency Care
  • Health Information Technology
  • Medical Imaging
  • Pathology
  • Patient-Centred Care
  • Shared decision-making


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