Amsterdam UMC, University of Amsterdam, Department of Surgery, Meibergdreef 9, 1105AZ Amsterdam, the Netherlands; Amsterdam UMC, University of Amsterdam, Department of Plastic, Reconstructive, and Hand Surgery, Meibergdreef 9, 1105AZ Amsterdam, the Netherlands.
Amsterdam UMC, University of Amsterdam, Department of Plastic, Reconstructive, and Hand Surgery, Meibergdreef 9, 1105AZ Amsterdam, the Netherlands.
J Plast Reconstr Aesthet Surg. 2023 Oct;85:463-472. doi: 10.1016/j.bjps.2023.07.041. Epub 2023 Jul 23.
In shared decision-making (SDM), patients and healthcare professionals (HCPs) reach a joint clinical decision based on the best available evidence and the patient's preferences. SDM seems particularly valuable in plastic surgery, as often multiple treatment options are available. This cross-sectional online survey study aimed to assess HCPs' views and knowledge about SDM, identify facilitators and barriers of SDM, and determine specific requirements for SDM within plastic surgery.
Participants were HCPs working in plastic surgery in the Netherlands. Participant characteristics, SDM knowledge, perceived facilitators and barriers, and requirements were assessed using a custom-made online survey. Two researchers thematically analyzed qualitative data.
We received 124 responses (with a response rate of 23%). Most respondents were attending plastic surgeons (79%), and 60% had more than 10 years of experience. Almost all respondents considered SDM important (91%), and most (78%) indicated that they applied SDM during consultations. However, only 15% of the HCPs showed a comprehensive understanding of the principle of SDM. Sufficient time, available sources of information (on treatment options and SDM), and decision support tools were identified as important requirements for SDM.
Despite the positive attitudes toward SDM, there is a clear need for SDM training of HCPs, uniform sources of information and guidelines, and improved awareness and availability of decision support tools. National plastic surgery societies can play a crucial role in improving SDM-related knowledge, the availability of information and decision support tools, and the implementation of SDM in the field of plastic surgery.
在共同决策（SDM）中，患者和医疗保健专业人员（HCPs）根据最佳可用证据和患者的偏好共同做出临床决策。SDM 在整形手术中似乎特别有价值，因为通常有多种治疗选择。这项横断面在线调查研究旨在评估 HCPs 对 SDM 的看法和知识，确定 SDM 的促进因素和障碍，并确定整形手术中 SDM 的具体要求。
参与者为荷兰整形手术领域的 HCPs。使用定制的在线调查评估参与者特征、SDM 知识、感知到的促进因素和障碍以及特定要求。两位研究人员对定性数据进行了主题分析。
我们共收到 124 份回复（回复率为 23%）。大多数受访者是整形外科主治医生（79%），60%的人有超过 10 年的经验。几乎所有的受访者都认为 SDM 很重要（91%），大多数（78%）表示他们在咨询时应用了 SDM。然而，只有 15%的 HCPs 对 SDM 原则有全面的了解。足够的时间、可用的治疗选择和 SDM 信息来源、决策支持工具被认为是 SDM 的重要要求。
尽管对 SDM 的态度是积极的，但 HCPs 需要进行 SDM 培训，需要统一的信息来源和指南，以及提高决策支持工具的意识和可用性。国家整形外科学会可以在提高与 SDM 相关的知识、信息和决策支持工具的可用性以及在整形手术领域实施 SDM 方面发挥关键作用。
