Shared decision making, patient-centered communication and patient satisfaction – A cross-sectional analysis

The integration of shared decision making (SDM) and patient-centered communication (PCC) is needed to actively involve patients in decision making. This study examined the relationship between shared decision making and patient-centered communication. In 82 videotaped hospital outpatient consultatio...

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Vydané v:Patient education and counseling Ročník 105; číslo 7; s. 2145 - 2150
Hlavní autori: Siebinga, Veerle Y., Driever, Ellen M., Stiggelbout, Anne M., Brand, Paul L.P.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Ireland Elsevier B.V 01.07.2022
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ISSN:0738-3991, 1873-5134, 1873-5134
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Shrnutí:The integration of shared decision making (SDM) and patient-centered communication (PCC) is needed to actively involve patients in decision making. This study examined the relationship between shared decision making and patient-centered communication. In 82 videotaped hospital outpatient consultations by 41 medical specialists from 18 disciplines, we assessed the extent of shared decision making by the OPTION5 score and patient-centered communication by the Four Habits Coding Scheme (4HCS), and analyzed the occurrence of a high versus low degree (above or below median) of SDM and/or PCC, and its relation to patient satisfaction scores. In comparison to earlier studies, we observed comparable 4HCS scores and relatively low OPTION5 scores. The correlation between the two was weak (r = 0.29, p = 0.009). In 38% of consultations, we observed a combination of high SDM and low PCC scores or vice versa. The combination of a high SDM and high PCC, which was observed in 23% of consultations, was associated with significantly higher patient satisfaction scores. Shared decision making and patient-centered communication are not synonymous and do not always co-exist. The value of integrated training of shared decision making and patient-centered communication should be further explored. •Shared decision making and patient-centered communication do not always co-exist.•Shared decision making and patient-centered communication are weakly correlated.•The combined occurrence is associated with higher patient satisfaction.•Further integration of shared decision making and patient-centeredness is needed.
Bibliografia:ObjectType-Article-1
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ISSN:0738-3991
1873-5134
1873-5134
DOI:10.1016/j.pec.2022.03.012