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沙特阿拉伯利雅得一家三级医疗医院中医生对共同决策看法的评估。

Assessment of Physicians' Perspective of Shared Decision Making in a Tertiary Care Hospital in Riyadh, Saudi Arabia.

作者信息

Almudaimegh Hind, Alkanhal Sarah, Alanazi Futun, Alquraishi Norah

机构信息

College of Pharmacy, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

出版信息

Glob J Qual Saf Healthc. 2020 Nov 30;3(4):119-124. doi: 10.36401/JQSH-20-8. eCollection 2020 Nov.

Abstract

INTRODUCTION

Shared decision making is an essential component of a patient-centered healthcare system. Several studies have evaluated patients' perception of shared decision making; however, studies reporting physicians' perception of the shared decision-making process are lacking. The objective of this study was to assess physicians' perspectives on shared decision making with their patients in a tertiary care hospital in Riyadh, Saudi Arabia.

METHODS

This is a cross-sectional study, in which we adopted the nine-item physician version of the shared decision-making questionnaire (SDM-Q-Doc) to assess physicians' perception of shared decision making. The questionnaire was distributed online and in hard copy form randomly to our institution's physicians.

RESULTS

We collected a total of 125 responses from various specialties. Means and percentage of agreement were tested, with the highest percentage of agreement ranging from 88% to 96.8%. There were significant differences between the groups regarding age and medical degree. There were no significant differences noted for sex or department.

CONCLUSION

Our findings suggest that most physicians at our institution have a positive attitude toward the process of sharing medical decisions with their patients.

摘要

引言

共同决策是以患者为中心的医疗保健系统的重要组成部分。多项研究评估了患者对共同决策的认知;然而,缺乏报告医生对共同决策过程认知的研究。本研究的目的是评估沙特阿拉伯利雅得一家三级医院的医生对与患者共同决策的看法。

方法

这是一项横断面研究,我们采用了共同决策问卷(SDM-Q-Doc)的九项医生版本来评估医生对共同决策的认知。问卷以在线和纸质形式随机分发给我们机构的医生。

结果

我们共收集到来自各个专业的125份回复。对均值和认同百分比进行了测试,最高认同百分比在88%至96.8%之间。不同组在年龄和医学学位方面存在显著差异。在性别或科室方面未发现显著差异。

结论

我们的研究结果表明,我们机构的大多数医生对与患者分享医疗决策的过程持积极态度。

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Physician attitudes toward shared decision making: A systematic review.医生对共同决策的态度:一项系统综述。
Patient Educ Couns. 2015 Sep;98(9):1046-57. doi: 10.1016/j.pec.2015.05.004. Epub 2015 May 23.
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Patients' understanding of shared decision making in a mental health setting.患者对精神卫生环境中共同决策的理解。
Qual Health Res. 2015 May;25(5):668-78. doi: 10.1177/1049732314551060. Epub 2014 Sep 22.
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Shared decision making: a model for clinical practice.共同决策:一种临床实践模式。
J Gen Intern Med. 2012 Oct;27(10):1361-7. doi: 10.1007/s11606-012-2077-6. Epub 2012 May 23.

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