Unidad de Patología Mamaria del Servicio de Cirugía General, Complexo Universitario Hospitalario de Ourense, 32005 Ourense, Spain.
Department of Preventive Medicine and Public Health, University of Granada, 18014 Granada, Spain.
Int J Environ Res Public Health. 2021 Feb 22;18(4):2128. doi: 10.3390/ijerph18042128.
To assess shared decision-making (SDM) knowledge, attitude and application among health professionals involved in breast cancer (BC) treatment.
A cross-sectional study based on an online questionnaire, sent by several professional societies to health professionals involved in BC management. There were 26 questions which combined demographic and professional data with some items measured on a Likert-type scale.
The participation (459/541; 84.84%) and completion (443/459; 96.51%) rates were high. Participants strongly agreed or agreed in 69.57% (16/23) of their responses. The majority stated that they knew of SDM (mean 4.43 (4.36-4.55)) and were in favour of its implementation (mean 4.58 (4.51-4.64)). They highlighted that SDM practice was not adequate due to lack of resources (3.46 (3.37-3.55)) and agreed on policies that improved its implementation (3.96 (3.88-4.04)). The main advantage of SDM for participants was patient satisfaction (38%), and the main disadvantage was the patients' paucity of knowledge to understand their disease (24%). The main obstacle indicated was the lack of time and resources (40%).
New policies must be designed for adequate training of professionals in integrating SDM in clinical practice, preparing them to use SDM with adequate resources and time provided.
评估参与乳腺癌（BC）治疗的卫生专业人员在共享决策（SDM）方面的知识、态度和应用情况。
这是一项基于在线问卷的横断面研究，由多个专业协会发送给参与 BC 管理的卫生专业人员。问卷共有 26 个问题，结合了人口统计学和专业数据以及一些李克特量表项目。
参与率（459/541；84.84%）和完成率（443/459；96.51%）均较高。在 23 个回答中，有 69.57%（16/23）的参与者强烈同意或同意。大多数参与者表示他们了解 SDM（平均 4.43（4.36-4.55））并支持其实施（平均 4.58（4.51-4.64））。他们强调，由于资源缺乏（3.46（3.37-3.55）），SDM 实践并不充分，并同意改善其实施的政策（3.96（3.88-4.04））。对参与者来说，SDM 的主要优势是患者满意度（38%），主要劣势是患者缺乏理解疾病的知识（24%）。主要障碍是缺乏时间和资源（40%）。
必须制定新的政策，为专业人员提供充分的培训，以将 SDM 整合到临床实践中，使他们能够在提供充足资源和时间的情况下使用 SDM。
