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Shared decision making and patient decision aids: knowledge, attitudes, and practices among Hawai'i physicians
Dana L Alden1, John Friend, Maria B J Chun
1Shidler College of Business, University of Hawai'i at Manoa, Honolulu, HI (D.L.A.).
Summary
Hawai
Area of Science:
- Health Services Research
- Patient-Centered Care
- Shared Decision Making
Background:
- The healthcare field is increasingly adopting patient-centered care (PCC) models.
- Patient decision aids (DAs) are crucial tools for promoting shared decision making (SDM).
- Understanding physician knowledge, attitudes, and practices (KAP) regarding DAs is essential.
Purpose of the Study:
- To establish a baseline measure of KAP among Hawai'i physicians concerning DAs.
- To assess physician awareness, attitudes, and current practices related to DAs.
- To identify barriers and perceived benefits of DA implementation in clinical settings.
Main Methods:
- A survey was distributed to physicians across Hawai'i to assess KAP regarding DAs.
- 174 valid surveys were analyzed to determine current knowledge and usage patterns.
- The study evaluated physician perceptions of DAs' impact on patient empowerment and satisfaction.
Main Results:
- Physician awareness and reported use of DAs were low.
- Recognition of SDM benefits and openness to DAs were high.
- Key barriers included lack of awareness, resources, and physician time.
Conclusions:
- Despite low awareness, Hawai'i physicians show high support for SDM and DAs.
- DAs are perceived to empower patients by improving knowledge, satisfaction, and compliance.
- Paper brochures and interactive online programs are favored DA formats.
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