Physicians' Perspectives Toward Shared Decision Making in Developing Countries
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2014, Vol 4, Issue 18
Abstract
Aims: To evaluate Iranian physicians’ perspectives on shared decision making by validating and translating the physician version of a shared decision making questionnaire (SDM-Q-DOC). Place and Duration: Iranian Evidence-Based Medicine Center of Excellence, Tabriz University of Medical Sciences, Tabriz, Iran, from June 2012 to July 2013. Methods: The physician version of a shared decision making questionnaire (SDM-Q-DOC) was translated and validated through a pilot study among urologists in one of the hospitals of Tabriz University of Medical Sciences. A validated questionnaire was handed out among Iranian physicians in three main hospitals of Urmia. The results were analyzed using factorial analysis SPSS 16 software. To assess reliability, Cronbach’s alpha coefficient was calculated. Pearson correlation coefficient was used to assess test-retest value. Results: The Persian version of the questionnaire showed an acceptable level of reliability (Cronbach alpha=0.901). In the implementation phase, Iranian physicians were generally in favor of the SDM process ( mean score=74.4%) but their perspective on different phases of SDM were different, with 93% answering questions evaluating physicians’ clinical explanations to their patients and only 68% agreeing with questions evaluating physicians’ attitudes regarding involving patients in the last treatment option. Conclusion: The physician version of SDM-Q-DOC is a valid and reliable questionnaire assessing physicians’ attitudes toward the SDM process. In this study, Iranian physicians showed a positive view to SDM.
Authors and Affiliations
Mohammad Ali Haj Ebrahimi, Sakineh Hajebrahimi, Hadi Mostafaie, Fariba Pashazadeh, Ahmad Hajebrahimi
Keywords
Related Articles
- EP ID EP349170
- DOI 10.9734/BJMMR/2014/8839
- Views 57
- Downloads 0
Perception of Self-esteem and Body Image among Women with Breast Cancer of a University Hospital in Tunisia
Background: Breast cancer is a major public health problem. It represents the first female cancer which creates physical, psychological and social disorders. Objectives: This study aimed to describe the perception of the...
Sequential Treatment with Lamivudine and Peg-interferon Therapy in Patients with E-positive Chronic Hepatitis B and High Viral Load
Background: Patients with chronic hepatitis B virus (HBV) who are positive for e antigen (HBeAg) and have a high viral load are considered to be poor therapeutic responders to pegylated interferon (PEG-IFN). The aim of t...
Unexpected Discontinuation of Dual Antiplatelet Therapy within 14 Days after Percutaneous Coronary Intervention: A Single-center Case Series
Objectives: To provide a descriptive case-series of patients who unexpectedly discontinued dual antiplatelet therapy (DAPT) within 14 days after percutaneous coronary intervention (PCI) (group A), and those who had taken...
Hypertension Prevalence in the US Population Varies with Differences in Alpha-1 Antitrypsin Genotype: A Cross Sectional Study
Background: The prevalence of hypertension (HTN) associated with alpha-1 antitrypsin deficiency (AATD) has been studied with indeterminate results. The aim of the study was to prospectively compare the prevalence of HTN...
Peak Expiratory Flow (PEF) in Relation to Selected Anthropometric Parameters in Healthy Adult Males of Kumaun Region of India: A Comparative Study
Background: PEF is a reasonably good measure of ventilatory function. It varies with various anthropometric parameters, geographical location of the subjects as well as various disease processes. Objective: To assess the...