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Physicians' perspective on shared decision-making in Dubai: a cross-sectional study.

Mohamad Alameddine1,2, Reem AlGurg3, Farah Otaki4

  • 1Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.

Human Resources for Health
|May 9, 2020
PubMed
Summary

Physicians in Dubai perceive shared decision-making (SDM) positively but face barriers. Integrating SDM with evidence-based management requires targeted training and supportive healthcare policies for patient-centered care.

Keywords:
DubaiOutpatient clinicsPhysiciansShared decision-making

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Area of Science:

  • Healthcare Management
  • Patient-Centered Care
  • Medical Education

Background:

  • Shared decision-making (SDM) is crucial for patient-centered care delivery.
  • Patient involvement in health decisions is an increasing expectation.
  • This study explores physician perceptions of SDM in Dubai's private healthcare sector.

Purpose of the Study:

  • To investigate physicians' perceptions of shared decision-making (SDM).
  • To identify barriers and facilitators to SDM implementation in a Dubai hospital network.

Main Methods:

  • Cross-sectional study design utilizing quantitative and qualitative data.
  • Survey questionnaire including SDM-Q-9 and open-ended questions.
  • Statistical analysis (Mann-Whitney test) and thematic analysis of qualitative data.

Main Results:

  • 80% of physicians rated their SDM skills highly.
  • Qualitative analysis revealed four key themes influencing SDM acceptability: physician-specific, patient-related, contextual/environmental, and relational barriers.
  • Barriers include physician beliefs, patient reluctance, sociocultural factors, and information asymmetry.

Conclusions:

  • Shared decision-making (SDM) and evidence-based management (EBM) are compatible.
  • Professional development should integrate SDM and EBM.
  • Healthcare leaders must implement actionable initiatives and resources to support SDM, enhance health literacy, and educate patients on their rights.