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Related Experiment Videos

Shared treatment decision making: what does it mean to physicians?

Cathy A Charles1, Tim Whelan, Amiram Gafni

  • 1Department of Clinical Epidemiology, McMaster University, Hamilton, Ontario, Canada. charlesc@mcmaster.ca

Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
|March 1, 2003
PubMed
Summary

Physicians and patients share understanding of shared treatment decision making (STDM). This study confirms a conceptual framework aligns with physicians' perceptions, supporting its use in practice and research.

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Area of Science:

  • Oncology
  • Medical Ethics
  • Health Services Research

Background:

  • Shared treatment decision making (STDM) is encouraged but poorly understood.
  • A conceptual framework for STDM was developed.
  • Physician perceptions of STDM require assessment.

Purpose of the Study:

  • To assess congruence between a conceptual framework of STDM and physicians' perceptions.
  • To evaluate understanding of STDM among oncologists and surgeons.

Main Methods:

  • Cross-sectional survey of Ontario medical and radiation oncologists and surgeons.
  • Used open-ended and structured questions to gather physician perceptions of STDM.
  • Assessed physician agreement with framework-defined characteristics of STDM.
Keywords:
Empirical ApproachProfessional Patient Relationship

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Main Results:

  • Most physicians described STDM using framework characteristics.
  • Physicians overwhelmingly identified a specific example as illustrating STDM.
  • Over 85% of physicians recognized key patient and physician roles in STDM.

Conclusions:

  • Substantial congruence exists between the STDM framework and physician perceptions.
  • The framework can guide research and clarify STDM in practice.
  • Findings support the framework's utility for improving STDM translation.