Factors Influencing Implementation Of Shared Medical Decision Making In Patients With Cancer

Huei-Lan Chang,1 Fang-Shan Li,1 Chiou-Fen Lin2,3 1Nursing Department, National Taiwan University Hospital Hsinchu Branch, Hsinchu City, Taiwan; 2College of Nursing, School of Gerontology Health Management, Taipei Medical University, Taipei, Taiwan; 3Department of Nursing, Shuang Ho Hospital, Taipei Medical University, Taipei, TaiwanCorrespondence: Chiou-Fen LinCollege of Nursing, School of Gerontology Health Management, Taipei Medical University, 250 Wu-Hsing Street, Taipei City 110, TaiwanTel +886 2 2736 1661 Ext. 6341Email cflin@tmu.edu.twPurpose: Shared decision making promotes patient participation in medical decisions. This study aims to explore the decision-making situation and influencing factors in patients with cancer.Patients and methods: A cross-sectional descriptive study was conducted for patient with cancers in regional teaching hospitals in northern Taiwan using short-form Mandarin Health Literacy Scale (s-MHLS) and Shared Decision Making Questionnaire (SDM-Q-9), with total 120 cases collected from January 15 to April 30, 2018.Results: Overall health literacy in patients with cancer is 86.52%, and degree of shared decision making is 89.63%; higher education level indicated better health literacy (p