Does the use of shared decision-making consultation behaviors increase treatment decision-making satisfaction among Chinese women facing decision for breast cancer surgery?
Patient Educ Couns
; 94(2): 243-9, 2014 Feb.
Article
en En
| MEDLINE
| ID: mdl-24316055
ABSTRACT
OBJECTIVE:
To assess the extent to which breast surgical consultations used shared decision making (SDM), identify factors associated with use of SDM, and assess if using SDM increases decision-making satisfaction.METHODS:
Two hundred and eighty-three video-recorded diagnostic-treatment decision consultations between breast surgeons and women with breast cancer were assessed using the Decision Analysis System for Oncology (DAS-O) coding system designed for assessing SDM behaviors. Women completed a questionnaire at pre-consultation, one-week post-consultation and one-month post-surgery. Patient outcomes included decision conflict, patient satisfaction with medical consultation, and decision regret.RESULTS:
Overall, the level of SDM behaviors was low. The extent of SDM behavior within consultation was related to greater consultation duration (p<0.001), more than one treatment being offered (p<0.001), and fewer questions raised by patients/companions (p<0.05). While use of SDM consultation did not influence post-consultation decision conflict, it increased satisfaction with information given and explained, patients' feelings of trust and confidence in their surgeons, and reduced post-surgical decision regret.CONCLUSION:
These breast surgical consultations mostly adopted informed treatment decision-making approaches. Using SDM improved patient consultation and decision satisfaction. PRACTICE IMPLICATIONS The study findings highlight a need to reinforce the importance of SDM in consultations among breast surgeons.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Evaluación de Procesos y Resultados en Atención de Salud
/
Participación del Paciente
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Neoplasias de la Mama
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Satisfacción del Paciente
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Toma de Decisiones
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Pueblo Asiatico
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
País/Región como asunto:
Asia
Idioma:
En
Revista:
Patient Educ Couns
Año:
2014
Tipo del documento:
Article