Search results for "shared decision making"
showing 5 items of 5 documents
Sexism Interacts with Patient–Physician Gender Concordance in Influencing Patient Control Preferences: Findings from a Vignette Experimental Design
2020
Background: Patient preferences regarding their involvement in shared treatments decisions is fundamental in clinical practice. Previous evidences demonstrated a large heterogeneity in these preferences. However, only few studies have analysed the influence of patients’ individual differences, contextual and situational qualities, and their complex interaction in explaining this variability. Methods: We assessed the role of the interaction of patient’s sociodemographic and psychological factors with a physician’s gender. Specifically, we focused on patient gender and attitudes toward male or female physicians. One hundred fifty-three people participated in this randomised controlled study a…
Validation of the Spanish version of the 9-item Shared Decision-Making Questionnaire
2014
Objective To translate and assess the psychometric properties of the 9-item Shared Decision-Making Questionnaire (SDM-Q-9) for measuring patients' perceptions of how clinicians' performance fits the SDM process. Design Cross-sectional study. Setting and Participants Data were collected in primary care health centres. Patients suffering from chronic diseases and facing a medical decision were included in the study. Measurements The original German SDM-Q-9 was translated to Spanish using the process of cross-cultural adaptation of self-reported measures as the methodological model for Spanish translation. Reliability (internal consistency) and construct validity [exploratory (EFA) and confirm…
Practitioners' positive attitudes promote shared decision-making in mental health care
2019
Rationale and aims: There is a growing expectation of implementing shared decision making (SDM) in today's health care service, including mental health care. Traditional understanding of SDM may be too narrow to capture the complexity of treatments of mental health problems. Although the patients' contribution to SDM is well described, the contribution from the health care practitioners is less explored. Therefore, our aim was to explore the attitudes of practitioners in mental health care and the associations between practitioners' attitudes and SDM. Method: We performed a cross‐sectional study where practitioners reported their sharing and caring attitudes on the Patient‐Practitioner Orie…
Mortality after cardioverter-defibrillator replacement: Results of the DECODE survival score index
2020
Background Device replacement is the ideal time to reassess health care goals regarding continuing implantable cardioverter-defibrillator (ICD) therapy. Only few data are available on the decision making at this time. Objectives The goals of this study were to identify factors associated with poor prognosis at the time of ICD replacement and to develop a prognostic index able to stratify those patients at risk of dying early. Methods DEtect long-term COmplications after implantable cardioverter-DEfibrillator replacement (DECODE) was a prospective, single-arm, multicenter cohort study aimed at estimating long-term complications in a large population of patients who underwent ICD/cardiac resy…
VALUE OF INFORMED CONSENT IN AESTHETIC DENTAL PROCEDURES
2020
In the last decade there have been an exponential increase in both the supply and demand for non invasive aesthetic procedures involving the face and the lips to contrast age changes in the perioral area. We briefly report the main non invasive aesthetics treatments in which dentists are involved and the professional liability related to the issues of informed consent. To avoid deontological and judiciary consequences the informed consent has to be obtained by the patient before any clinical procedure and documented in medical record. Recently Italian law no. 219/2017 highlighted the principle of autonomy and self-determination of patient and maximizes an optimal relationship between patien…