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Shared decision making, patient-centered communication and patient satisfaction - A cross-sectional analysis
Veerle Y Siebinga1, Ellen M Driever1, Anne M Stiggelbout2
1Department of Innovation and Research, Isala Hospital, Zwolle, The Netherlands.
Patient Education and Counseling
|March 26, 2022
Summary
Shared decision making (SDM) and patient-centered communication (PCC) are distinct but related communication strategies. Integrated training in SDM and PCC may enhance patient satisfaction, as they do not always coexist in clinical practice.
Area of Science:
- Healthcare Communication
- Patient Engagement
- Medical Education
Background:
- Effective patient involvement in healthcare decisions requires integrating shared decision making (SDM) and patient-centered communication (PCC).
- Understanding the relationship between SDM and PCC is crucial for improving patient care and satisfaction.
Purpose of the Study:
- To examine the relationship between the extent of shared decision making (SDM) and patient-centered communication (PCC) in hospital outpatient consultations.
- To assess how the combination of SDM and PCC levels relates to patient satisfaction.
Main Methods:
- 82 videotaped outpatient consultations from 41 medical specialists across 18 disciplines were analyzed.
- Shared decision making (SDM) was assessed using the OPTION5 score, and patient-centered communication (PCC) using the Four Habits Coding Scheme (4HCS).
- Consultations were categorized by high/low degrees of SDM and PCC, and correlated with patient satisfaction scores.
Main Results:
- Patient-centered communication (PCC) scores were comparable to previous studies, while shared decision making (SDM) scores were relatively low.
- A weak correlation (r=0.29, p=0.009) was found between SDM and PCC.
- High SDM and high PCC, observed in 23% of consultations, significantly increased patient satisfaction.
Conclusions:
- Shared decision making (SDM) and patient-centered communication (PCC) are not interchangeable and do not consistently occur together.
- Integrated training in both SDM and PCC warrants further investigation to optimize patient involvement and satisfaction.
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