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Shared Decision Making: The 9-Item Shared Decision Making Questionnaire Does Not Discriminate Between Surgeons.

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Summary

Shared decision making (SDM) scores showed no significant variation among individual otolaryngologists in a large specialty clinic. Patient demographics also did not impact SDM scores, indicating consistent patient-centered communication.

Keywords:
otolaryngologysdm-q-9shared decision making

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Area of Science:

  • Otolaryngology
  • Health Services Research
  • Patient Communication

Background:

  • Shared decision making (SDM) is crucial for patient-centered care in otolaryngology.
  • Understanding variations in SDM delivery among surgeons is essential for quality improvement.
  • The SDM-Q-9 is a validated tool for assessing patient-perceived SDM.

Purpose of the Study:

  • To investigate potential differences in SDM scores among individual otolaryngologists within a large specialty clinic.
  • To assess whether patient demographics influence SDM scores in otolaryngology consultations.
  • To evaluate if surgeon characteristics correlate with variations in SDM scores.

Main Methods:

  • A prospective study involving 233 patients undergoing surgery who completed the 9-item Shared Decision Making Questionnaire (SDM-Q-9).
  • Data collected included patient demographics (age, gender, education, marital status, surgical context) and surgeon characteristics (gender, age, subspecialty).
  • Statistical analysis compared SDM scores across patient demographics and individual surgeons, including surgeon-specific characteristics.

Main Results:

  • No statistically significant differences were observed in SDM scores when compared across various patient demographic variables (p > 0.05).
  • Analysis of 10 participating otolaryngologists, each with at least five completed SDM-Q-9 surveys, revealed no significant variations in SDM scores.
  • SDM scores did not differ significantly based on surgeon characteristics such as gender, age category, or subspecialty (p > 0.05).

Conclusions:

  • SDM scores are consistent among the evaluated otolaryngologists in this large specialty clinic setting.
  • Patient-centered communication, as measured by SDM-Q-9, appears uniform across different surgeons and is not significantly influenced by patient demographics.
  • These findings suggest a standardized approach to shared decision making within this otolaryngology practice.