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Shared Decision Making during the COVID-19 Pandemic
Anja K Köther1, Katharina U Siebenhaar1, Georg W Alpers1
1Department of Psychology, School of Social Sciences, University of Mannheim, Mannheim, Baden-Wurttemberg, Germany.
Summary
During the COVID-19 pandemic, patients desired less participation in decision-making for COVID-19 care compared to general healthcare. Patient preferences for shared decision-making (SDM) varied significantly with the health care context.
Area of Science:
- Health Services Research
- Patient Experience
- Decision Sciences
Background:
- The COVID-19 pandemic strained healthcare systems globally, impacting patient-centered care models.
- Understanding patient preferences for shared decision-making (SDM) is crucial during health crises.
Purpose of the Study:
- To examine patient attitudes toward SDM during the COVID-19 pandemic.
- To identify predictors of participation preferences in healthcare decision-making during a crisis.
Main Methods:
- An online survey was administered to 1061 participants.
- Assessed generic and COVID-19-related participation preferences, triage acceptance, anxiety, and e-health literacy.
- Utilized group comparisons and multiple linear regression analyses.
Main Results:
- Most participants desired information but moderate participation in general decision-making.
- During a hypothetical COVID-19 infection, most preferred physician-led decisions.
- Generic participation preference, age, education, and anxiety predicted COVID-19-related preferences; higher preferences correlated with lower triage acceptance.
Conclusions:
- Patient attitudes toward SDM shift during severe health crises.
- Participation preferences are context-dependent, highlighting the need for adaptable patient-centered care strategies.
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