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Could shared decision making affect staying in hospital? A cross-sectional pilot study
- Source :
- BMC Health Services Research, Vol 19, Iss 1, Pp 1-8 (2019), BMC Health Services Research
- Publication Year :
- 2019
- Publisher :
- Springer Science and Business Media LLC, 2019.
-
Abstract
- Background Shared Decision Making (SDM) is an approach where clinicians and patients share the best available evidence to make decision and where patients opinions are considered. This approach provides benefits for patients, clinicians and health care system. The aim of the present study is to investigate the patients’ perception of their participation in treatment choices and to identify the possible influences of variables in decision aids and therapeutic choices. Furthermore the present study evaluates the impact of SDM on the length of hospital stay and the health expenditure in Piemonte, an Italian region. Methods A cross-sectional study was performed in 2016. The patients were selected after hospitalization to clinical and surgical units at the Rivoli and Susa Hospital. Data were collected through the questionnaire and the Hospital Discharge Registers. STROBE guidelines for observational studies were used. A descriptive analysis was conducted. Frequencies and percentages of the categorical variables were reported. Statistical analyses were performed using t-test, chi-square test and Mann-Whitney test. Results The final sample was made of 174 subjects. More than half of the sample reported a SDM approach. Female gender (p = 0.027) and lower age (p = 0.047) are associated with an increased possibility to report SDM. Receiving “good” or “excellent” information, having their own request fulfilled and their opinions took into account by healthcare professionals, were all found to be predictors for an approach recognized as SDM (p ≤ 0.05). The perception that healthcare professionals spent a proper amount of time with the patients and used an understendable language are factors increase the chance of a “shared” decision process (p ≤ 0.05). The patients trust in the information given by the healthcare professional is not affecting their perception about the decision making process (P = 0.195). No significant difference where recorded in length of stay and hospital expenditure. Conclusions The data show the role played by different dimension of the patients-clinician relationship and that the strongest determinant of a perceived shared decision making approach are healthcare professional-depending.
- Subjects :
- Adult
Male
medicine.medical_specialty
Attitude of Health Personnel
Health Personnel
Decision Making
Pilot Projects
Health informatics
Decision Support Techniques
Health administration
Young Adult
03 medical and health sciences
0302 clinical medicine
Health expenditure
Length of stay
Patient-doctor relationship
Share decision making
Health Policy
Surveys and Questionnaires
Health care
medicine
Decision aids
Humans
030212 general & internal medicine
Aged
Aged, 80 and over
Descriptive statistics
business.industry
lcsh:Public aspects of medicine
030503 health policy & services
Public health
Nursing research
lcsh:RA1-1270
Middle Aged
Hospitalization
Cross-Sectional Studies
Italy
Socioeconomic Factors
Family medicine
Female
Observational study
Patient Participation
0305 other medical science
business
Attitude to Health
Research Article
Subjects
Details
- ISSN :
- 14726963
- Volume :
- 19
- Database :
- OpenAIRE
- Journal :
- BMC Health Services Research
- Accession number :
- edsair.doi.dedup.....5df02e54578fdde7cae98e95bd47d16a
- Full Text :
- https://doi.org/10.1186/s12913-019-4002-8