Claire Hastings

Paramedic

United Kingdom

Doctorate Title: Accounting for and Explaining 'not doing' In Healthcare.

Doctorate Description: The research will use qualitative methods: Scoping review, Interviews and Stakeholder Workshop.

In recent years there has been growing interest in de-medicalization of healthcare, for example: reducing the amount of unnecessary screening, de-prescribing or using shared decision-making tools provide by NICE or the ‘choosing wisely campaign’ to help patients and healthcare professionals make decisions in a person-centred way.

The overall aim of the research will be to consider how decision-making can be captured and documented by HCPs working in primary care in a robust way that is transferrable to other care providers. This could provide HCPs with reassurance and confidence when decisions are made to ‘not do’ something (e.g, not prescribe, not screen or not refer) in respect of the patients preferences, leading to a reduction of over-use in healthcare.