University of Heidelberg, Department of Psychosomatic and General Internal Medicine, Heidelberg, Germany.
Patient Educ Couns. 2009 Oct;77(1):48-54. doi: 10.1016/j.pec.2009.03.019. Epub 2009 Apr 28.
To report on experiences with a general shared decision-making (SDM) physician training program offered to physicians throughout Germany.
This study enrolled 150 physicians in an 8-h SDM training program. Physicians were assessed with standardized instruments before and after training. Main variables of interest were physician professional attributes, personality characteristics, attitudes, measures of training success (quality rating, knowledge, competency ratings), and variables associated with training success.
The SDM training obtained positive quality ratings, led to an amelioration in an objective SDM knowledge test (p<.001), and highly improved physicians' confidence in their SDM competencies (p<0.001). It attracted experienced, middle-aged (45 years), male and female (46%) physicians, mostly office-based (2/3) general practitioners and internists (2/3). Most physicians (94%) reported positive attitudes towards SDM. They were securely attached (63%) with predominant social career choice motives (46%). Physicians with personality characteristics clashing with the SDM concept benefited mostly from the training.
A voluntary SDM training program is attractive to practicing physicians and effective in increasing SDM-related confidence and knowledge.
Even physicians who are highly motivated to use SDM can improve their skills and benefit from SDM training. The dissemination of SDM training programs should be encouraged.
报告一项针对德国各地医生开展的通用共享决策（SDM）医师培训计划的经验。
本研究招募了 150 名参加 8 小时 SDM 培训计划的医生。培训前后，医生均采用标准化工具进行评估。主要关注变量包括医生的专业属性、人格特征、态度、培训成功衡量标准（质量评分、知识、能力评分）以及与培训成功相关的变量。
SDM 培训获得了积极的质量评分，导致客观 SDM 知识测试（p<.001）得到改善，并显著提高了医生对 SDM 能力的信心（p<0.001）。它吸引了经验丰富、中年（45 岁）、男性和女性（46%）医生，主要是办公室（2/3）的全科医生和内科医生（2/3）。大多数医生（94%）对 SDM 持积极态度。他们是安全依恋（63%），具有主要的社会职业选择动机（46%）。与 SDM 理念相冲突的人格特征的医生从培训中获益最多。
一项自愿的 SDM 培训计划对执业医生具有吸引力，并能有效提高与 SDM 相关的信心和知识。
即使是非常有动机使用 SDM 的医生也可以提高他们的技能，并从 SDM 培训中受益。应鼓励推广 SDM 培训计划。
