School of Nursing and Midwifery, Monash University, Australia.
School of Nursing and Midwifery, Monash University and Peninsula Health, Australia.
Patient Educ Couns. 2020 Aug;103(8):1637-1644. doi: 10.1016/j.pec.2020.03.009. Epub 2020 Mar 14.
To compare consumer and mental health professionals' (MHPs) preferences for decision-making in China and Europe.
This study used cross-sectional design; Chinese data were collected by questionnaires and European data were obtained from the literature. Data were analysed using t-test, One-way ANOVA and Pearson correlation coefficient as appropriate.
This study involved 800 people diagnosed with severe mental illness and 506 MHPs. Chinese participants rated lower scores on preference for participation in decision-making (PD = 1.88) and information (IN = 2.70) than European participants (PD = 2.05, IN = 2.83). Chinese consumers rated a higher score on IN (2.78) but lower on for PD (1.75) than MHPs (IN = 2.64, PD = 1.97). Chinese consumers' education level is positively associated with preference for PD and IN. The gender, occupation and age of Chinese MHPs are associated with preference for PD.
Both Chinese and Europeans had preference for shared involvement in mental health, while the preference in China is less. Opinions of consumers and MHPs might be different, regarding the level of patient involvement in specific decisions.
It is essential that consumers' preferences are understood for provision of optimal support for a shared decision-making approach.
比较中、欧消费者和精神卫生专业人员（MHPs）在决策方面的偏好。
本研究采用横断面设计；中国数据通过问卷调查收集，欧洲数据从文献中获得。适当使用 t 检验、单因素方差分析和 Pearson 相关系数进行数据分析。
本研究共纳入 800 名确诊严重精神疾病患者和 506 名 MHPs。中国参与者在参与决策（PD=1.88）和信息获取（IN=2.70）方面的偏好评分低于欧洲参与者（PD=2.05，IN=2.83）。中国消费者在信息获取方面的评分较高（IN=2.78），但在参与决策方面的评分较低（PD=1.75），低于 MHPs（IN=2.64，PD=1.97）。中国消费者的受教育程度与参与决策和信息获取的偏好呈正相关。中国 MHPs 的性别、职业和年龄与参与决策的偏好相关。
中、欧双方均倾向于共同参与精神卫生决策，但中国的偏好程度较低。在特定决策中，消费者和 MHPs 对患者参与程度的意见可能不同。
了解消费者的偏好对于提供最佳支持以实现共同决策方法至关重要。
