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Impact of Shared-Decision Making on Patient Satisfaction

의사와 환자 간 공유된 진료의사결정이 환자만족도에 미치는 영향

  • Suh, Won-S. (Department of Healthcare Management, College of Business & Economics, Kyungwon University) ;
  • Lee, Chae-Kyung (Division of Chronic Disease Surveillance, Korea Centers for Disease Control & Prevention)
  • 서원식 (경원대학교 경상대학 의료경영학과) ;
  • 이채경 (질병관리본부 만성병조사과)
  • Published : 2010.01.31

Abstract

Objectives: The purpose of this research is to analyze the impact of shared-decision making on patient satisfaction. The study is significant since it focuses on developing appropriate methodologies and analyzing data to identify patient preferences, with the goals of optimizing treatment selection, and substantiating the relationship between such preferences and their impact on outcomes. Methods: A thorough literature review that developed the framework illustrating key dimensions of shared decision making was followed by a quantitative assessment and regression analysis of patient-perceived satisfaction, and the degree of shared-decision making. Results: A positive association was evident between shared-decision making and patient satisfaction. The impact of shared decision making on patient satisfaction was greater than other variable including gender, education, and number of visits. Conclusions: Patients who participate in care-related decisions and who are given an explanation of their health problems are more likely to be satisfied with their care. It would benefit health care organizations to train their medical professionals in this communication method, and to include it in their practice guidelines.

Keywords

References

  1. Samsung Economic Research Institute(SERI). Major Megatrends of Healthcare Industry and their Implication. Seoul, SERI; 2007. (Korean)
  2. Edwards A, Elwyn G. Inside the black box of shared decision making: Distinguishing between the process of involvement and who makes the decision. Health Expect 2006; 9(4): 307-320. https://doi.org/10.1111/j.1369-7625.2006.00401.x
  3. Elwyn G, Hutchings H, Edwards A, Rapport F, Wensing M, Cheung WY, et al. The OPTION scale: Measuring the extent that clinicians involve patients in decision-making tasks. Health Expect 2005; 8(1): 34-42. https://doi.org/10.1111/j.1369-7625.2004.00311.x
  4. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.
  5. Swanson KA, Bastani R, Rubenstein LV, Meredith LS, Ford DE. Effect of mental health care and shared decision making on patient satisfaction in a community sample of patients with depression. Med Care Res Rev 2007; 64(4): 416-430. https://doi.org/10.1177/1077558707299479
  6. Donabedian A. Evaluating the quality of medical care. Milbank Mem Fund Q 1966; 44(3 Suppl): 166-206. https://doi.org/10.2307/3348969
  7. Anderson R. Behavioral Model of Families' Use of Health Services, Chicago: University of Chicago Press; 1968.
  8. Agency for Healthcare Research and Quality. Annual Report of the National CAHPS Benchmarking Database 2000: What Consumers Say about the Quality of Their Health Plans and Medical Care. Rockville, MD: U.S. Department of Health and Human Services; 2001.
  9. Greenfield S, Kaplan S, Ware JE Jr. Expanding patient involvement in care: Effects on patient outcomes. Ann Inter Med 1985; 102(4): 520-528. https://doi.org/10.7326/0003-4819-102-4-520
  10. Greenfield S, Kaplan SH, Ware JE Jr, Yano EM, Frank HJ. Patients' participation in medical care: Effects on blood sugar control and quality of life in diabetes. J Gen Inter Med 1988; 3(5): 448-457. https://doi.org/10.1007/BF02595921
  11. Kaplan SH, Greenfield S, Ware JE Jr. Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Med Care 1989; 27(3 Suppl): S110-S127. https://doi.org/10.1097/00005650-198903001-00010
  12. DiMatteo MR, Hays R. The significance of patients' perception conduct: A study of patient satisfaction in a family practice center. J Community Health 1980; 6(1): 18-34. https://doi.org/10.1007/BF01324054
  13. Chosun Ilbo, Patients & doctors, How come they do not communicate'[cited 2009 Apr 3] Available from: URL: http://news.chosun.com/site/data/htm l-dir/2009/04/03/ 2009040303643.html. (Korean)
  14. O'Connor AM, Rostom A, Fiset V, Tetroe J, Entwistle V, Llewellyn-Thomas H, et al. Decision aids for patients facing health treatment or screening decisions: Systematic review. BMJ 1999; 319(7212): 731-734. https://doi.org/10.1136/bmj.319.7212.731
  15. Davis RE, Dolan G, Thomas S, Atwell C, Mead D, Nehammer S, et al. Exploring doctor and patient views about risk communication and shared decision-making in the consultation. Health Expect 2003; 6(3): 198-207. https://doi.org/10.1046/j.1369-6513.2003.00235.x
  16. Thornton H, Edwards A, Elwyn G. Evolving the multiple roles of' patients'in health-care research: Reflections after involvement in a trial of shared decision-making. Health Expect 2003; 6(3): 189-197. https://doi.org/10.1046/j.1369-6513.2003.00231.x
  17. Charles C, Gafni A, Whelan T. Shared decision-making in the medical encounter: What does it mean? (or it takes at least two to tango). Soc Sci Med 1997; 44(5): 681-692. https://doi.org/10.1016/S0277-9536(96)00221-3
  18. Clayman ML, Roter D, Wissow LS, Bandeen-Roche K. Autonomy-related behaviors of patient companions and their effect on decision-making activity in geriatric primary care visits. Soc Sci Med 2005; 60(7): 1583-1591. https://doi.org/10.1016/j.socscimed.2004.08.004

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