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The current level of shared decision-making in anesthesiology: an exploratory study
F E Stubenrouch1, E M K Mus2, J W Lut2
1Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands. f.e.stubenrouch@amc.nl.
BMC Anesthesiology
|July 14, 2017
Summary
Shared decision-making (SDM) in anesthesiology consultations is low, despite patients and clinicians reporting high satisfaction. Patients and providers may not fully understand SDM, indicating a need for improved implementation in preoperative care.
Area of Science:
- Anesthesiology
- Health Services Research
- Patient-Centered Care
Background:
- Shared decision-making (SDM) involves patients and clinicians in healthcare choices.
- SDM is applicable to anesthesiology, particularly for preoperative planning.
- Current SDM levels in preoperative anesthesia consultations are not well-established.
Purpose of the Study:
- To assess the current level of shared decision-making (SDM) in preoperative anesthesia consultations.
- To compare objective and subjective measures of SDM between patients and anesthesiology clinicians.
Main Methods:
- Evaluated 80 preoperative patients undergoing surgery with three feasible anesthesia techniques.
- Used objective scoring (OPTION5 scale) of audio-recorded consultations.
- Assessed subjective patient (SDM-Q-9, CollaboRATE) and clinician (SDM-Q-Doc) perceptions of SDM.
Main Results:
- Objective SDM scores were low at 30.5%.
- Patients reported high satisfaction with SDM-Q-9 (91.7%) and CollaboRATE (96.3%).
- Clinicians reported high satisfaction with SDM-Q-Doc (84.3%), suggesting a gap in SDM awareness.
Conclusions:
- The level of SDM in preoperative anesthesia outpatient clinics is low.
- Patients and clinicians may prioritize satisfaction over true SDM due to lack of awareness.
- There is significant potential to enhance SDM practices in anesthesiology.
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