Faculty of Health Sciences, University of Southampton, Highfield, Southampton, Hampshire, SO17 1BJ, UK,
Eur Spine J. 2014 Apr;23 Suppl 1(Suppl 1):S13-9. doi: 10.1007/s00586-014-3187-0. Epub 2014 Jan 30.
Amid a political agenda for patient-centred healthcare, shared decision-making is reported to substantially improve patient experience, adherence to treatment and health outcomes. However, observational studies have shown that shared decision-making is rarely implemented in practice. The purpose of this study was to measure the prevalence of shared decision-making in clinical encounters involving physiotherapists and patients with back pain.
Eighty outpatient encounters (comprising 40 h of data) were observed audio-recorded, transcribed verbatim and analysed using the 12-item OPTION scale. The higher the score, the greater is the shared decision-making competency of the clinicians.
The mean OPTION score was 24.0% (range 10.4-43.8%).
Shared decision-making was under-developed in the observed back pain consultations. Clinicians' strong desire to treat acted as a barrier to shared decision-making and further work should focus on when and how it can be implemented.
在以患者为中心的医疗保健政治议程中，据报道，共同决策可显著改善患者体验、治疗依从性和健康结果。然而，观察性研究表明，共同决策在实践中很少得到实施。本研究旨在测量涉及物理治疗师和腰痛患者的临床诊疗中共同决策的普遍程度。
对 80 次门诊诊疗（包含 40 小时的数据）进行了音频记录、逐字转录和分析，使用了 12 项 OPTION 量表。得分越高，临床医生的共同决策能力越强。
平均 OPTION 得分为 24.0%（范围 10.4-43.8%）。
在观察到的腰痛咨询中，共同决策的发展不足。临床医生强烈的治疗意愿成为共同决策的障碍，进一步的工作应重点关注何时以及如何实施共同决策。
