How should patients behave to facilitate shared decision making - the doctors' view

Objective  To study how physicians feel about patients’ efforts to be engaged in shared decision making (SDM). Study setting and design  Survey of physicians from distinctly different medical disciplines (238 psychiatrists and 169 vascular surgeons). Participants were requested to judge which patien...

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Bibliographic Details
Published in:Health expectations : an international journal of public participation in health care and health policy 2012-12, Vol.15 (4), p.360-366
Main Authors: Hamann, Johannes, Mendel, Rosmarie, Bühner, Markus, Kissling, Werner, Cohen, Rudolf, Knipfer, Eva, Eckstein, Hans-Henning
Format: Article
Language:English
Subjects:
Adult
Ambivalence
Assertive
Attitudes
Behavior
Communication
Consultation
Counseling
Decision Making
doctor-patient communication
Doctors
Family physicians
Female
Group decision making
Humans
Male
Medical personnel
Medicine
Middle Aged
Original Research Papers
patient autonomy
Patient education
Patient Participation
Patients
Physician-Patient Relations
Physicians
Physicians - psychology
Positive thought
Primary care
Psychiatrists
shared decision making
Social sciences
Surgeons
Systematic review
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Summary:Objective  To study how physicians feel about patients’ efforts to be engaged in shared decision making (SDM). Study setting and design  Survey of physicians from distinctly different medical disciplines (238 psychiatrists and 169 vascular surgeons). Participants were requested to judge which patient behaviours they find helpful and which behaviours detrimental for SDM. Results  Psychiatrists and surgeons had rather positive attitudes about active patient behaviours. However, there were quite a few patient behaviours (e.g. searching the Internet, being assertive towards the doctor) which provoked ambivalent or negative attitudes. Discussion and conclusions  Physicians are generally quite open towards active patient behaviour in the consultation. They, however, do consider it as less helpful and become more annoyed if patients insist on their preferences and doubt their doctors’ recommendations. Physicians must realize that SDM implies giving up decisional power and try to be more flexible in their interactions with patients.
ISSN:1369-6513
1369-7625
DOI:10.1111/j.1369-7625.2011.00682.x