Public Health, The University of Sheffield, Sheffield, UK.
College of Business, University of Jeddah, Jeddah, Saudi Arabia.
J Eval Clin Pract. 2022 Apr;28(2):235-246. doi: 10.1111/jep.13616. Epub 2021 Aug 31.
To describe the perspectives of healthcare professionals regarding the implementation of Shared decision-making (SDM) in primary healthcare centres (PHCCs) in Saudi Arabia.
Qualitative semi-structured interviews were conducted with a purposive and snowball sample of healthcare professionals in PHCCs. Interviews have been recorded, transcribed, translated and thematically analysed. Themes were mapped to the COM-B model.
Sixteen healthcare professionals were interviewed. The data analysis identified six themes and 14 sub-themes. The six themes are patient related factors, health professional related factors, environmental context and resources, patient-physician communication, patient-physician preferences toward SDM and physicians' perceived value and benefits of SDM. Physicians are unlikely to practice SDM in the context of time pressures, shortage of physicians, lack of treatment options, and decision-making aids. The findings also underscored the importance of building a trustworthy physician-patient relationship through the use of effective conversation techniques.
There are multiple barriers to SDM in primary care. Unless these barriers are addressed, it is unlikely that physicians will effectively or fully engage in SDM with patients.
描述沙特阿拉伯基层医疗中心（PHCC）医疗保健专业人员对实施共享决策（SDM）的看法。
采用目的抽样和滚雪球抽样的方法，对 PHCC 中的医疗保健专业人员进行了定性半结构式访谈。对访谈进行了录音、转录、翻译和主题分析。主题与 COM-B 模型相映射。
共访谈了 16 名医疗保健专业人员。数据分析确定了 6 个主题和 14 个子主题。这 6 个主题是患者相关因素、卫生专业人员相关因素、环境背景和资源、医患沟通、医患对 SDM 的偏好以及医生对 SDM 的感知价值和益处。在时间压力、医生短缺、治疗方案选择有限以及决策辅助工具缺乏的情况下，医生不太可能实施 SDM。研究结果还强调了通过使用有效的沟通技巧建立可信赖的医患关系的重要性。
基层医疗中存在多种 SDM 障碍。除非这些障碍得到解决，否则医生不太可能有效地与患者充分参与 SDM。
