Chen Zhuo-Ran, Zhang Li, Chen Ya-Wei, Xu Meng-Yang, Jia Hang, Li Meng-Ying, Lou Yu-Han, Lan Ling
Henan No.3 Provincial People's Hospital, Zhengzhou, China.
The Third People's Hospital of Zhengzhou, Zhengzhou, China.
Front Psychiatry. 2022 Oct 5;13:946383. doi: 10.3389/fpsyt.2022.946383. eCollection 2022.
Shared decision-making (SDM) is a scientific and reasonable decision-making model. However, whether physicians choose SDM is usually influenced by many factors. It is not clear whether the strained doctor-patient relationship will affect physicians' willingness to choose SDM. Through a survey by questionnaire, 304 physicians' evaluations of doctor-patient relationship (DPR) were quantified by the difficult DPR questionnaire-8. Their preferences for SDM and the reasons were also evaluated. The correlation between physicians' evaluations of DPR and their preferences for SDM were analyzed. 84.5% physicians perceived DPR as poor or strained, 53.3% physicians preferred SDM, mainly because of the influences of medical ethics and social desirability bias. Their preferences for SDM were not significantly correlated with their evaluations of DPR ( > 0.05). Physicians with different evaluations of DPR (good, poor, and strained) all had similar preferences for SDM (42.6, 56.4, and 42.9%), with no significant difference ( > 0.05). There was no correlation between physicians' evaluations of DPR and their preferences for SDM. Physicians' evaluations of poor DPR did not affect their preferences for SDM. This may be influenced by the medical ethics and social desirability bias.
共同决策(SDM)是一种科学合理的决策模式。然而,医生是否选择共同决策通常受多种因素影响。医患关系紧张是否会影响医生选择共同决策尚不清楚。通过问卷调查,采用医患关系困难问卷-8对304名医生的医患关系(DPR)评价进行量化。同时评估他们对共同决策的偏好及原因。分析医生对医患关系的评价与其对共同决策偏好之间的相关性。84.5%的医生认为医患关系差或紧张,53.3%的医生倾向于共同决策,主要是受医学伦理和社会期望偏差的影响。他们对共同决策的偏好与对医患关系的评价无显著相关性(>0.05)。对医患关系评价不同(良好、差、紧张)的医生对共同决策的偏好相似(分别为42.6%、56.4%和42.9%),无显著差异(>0.05)。医生对医患关系的评价与他们对共同决策的偏好之间没有相关性。医生对不良医患关系的评价并不影响他们对共同决策的偏好。这可能受医学伦理和社会期望偏差的影响。