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http://dx.doi.org/10.3961/jpmph.2010.43.1.26

Impact of Shared-Decision Making on Patient Satisfaction  

Suh, Won-S. (Department of Healthcare Management, College of Business & Economics, Kyungwon University)
Lee, Chae-Kyung (Division of Chronic Disease Surveillance, Korea Centers for Disease Control & Prevention)
Publication Information
Journal of Preventive Medicine and Public Health / v.43, no.1, 2010 , pp. 26-34 More about this Journal
Abstract
Objectives: The purpose of this research is to analyze the impact of shared-decision making on patient satisfaction. The study is significant since it focuses on developing appropriate methodologies and analyzing data to identify patient preferences, with the goals of optimizing treatment selection, and substantiating the relationship between such preferences and their impact on outcomes. Methods: A thorough literature review that developed the framework illustrating key dimensions of shared decision making was followed by a quantitative assessment and regression analysis of patient-perceived satisfaction, and the degree of shared-decision making. Results: A positive association was evident between shared-decision making and patient satisfaction. The impact of shared decision making on patient satisfaction was greater than other variable including gender, education, and number of visits. Conclusions: Patients who participate in care-related decisions and who are given an explanation of their health problems are more likely to be satisfied with their care. It would benefit health care organizations to train their medical professionals in this communication method, and to include it in their practice guidelines.
Keywords
Consumer involvement; Patient satisfaction; Shared-decision making;
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1 Thornton H, Edwards A, Elwyn G. Evolving the multiple roles of' patients'in health-care research: Reflections after involvement in a trial of shared decision-making. Health Expect 2003; 6(3): 189-197.   DOI   ScienceOn
2 Samsung Economic Research Institute(SERI). Major Megatrends of Healthcare Industry and their Implication. Seoul, SERI; 2007. (Korean)
3 Donabedian A. Evaluating the quality of medical care. Milbank Mem Fund Q 1966; 44(3 Suppl): 166-206.   DOI   ScienceOn
4 Greenfield S, Kaplan SH, Ware JE Jr, Yano EM, Frank HJ. Patients' participation in medical care: Effects on blood sugar control and quality of life in diabetes. J Gen Inter Med 1988; 3(5): 448-457.   DOI
5 Kaplan SH, Greenfield S, Ware JE Jr. Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Med Care 1989; 27(3 Suppl): S110-S127.   DOI
6 Charles C, Gafni A, Whelan T. Shared decision-making in the medical encounter: What does it mean? (or it takes at least two to tango). Soc Sci Med 1997; 44(5): 681-692.   DOI   ScienceOn
7 Anderson R. Behavioral Model of Families' Use of Health Services, Chicago: University of Chicago Press; 1968.
8 Elwyn G, Hutchings H, Edwards A, Rapport F, Wensing M, Cheung WY, et al. The OPTION scale: Measuring the extent that clinicians involve patients in decision-making tasks. Health Expect 2005; 8(1): 34-42.   DOI   ScienceOn
9 Davis RE, Dolan G, Thomas S, Atwell C, Mead D, Nehammer S, et al. Exploring doctor and patient views about risk communication and shared decision-making in the consultation. Health Expect 2003; 6(3): 198-207.   DOI   ScienceOn
10 Greenfield S, Kaplan S, Ware JE Jr. Expanding patient involvement in care: Effects on patient outcomes. Ann Inter Med 1985; 102(4): 520-528.   DOI   ScienceOn
11 Agency for Healthcare Research and Quality. Annual Report of the National CAHPS Benchmarking Database 2000: What Consumers Say about the Quality of Their Health Plans and Medical Care. Rockville, MD: U.S. Department of Health and Human Services; 2001.
12 O'Connor AM, Rostom A, Fiset V, Tetroe J, Entwistle V, Llewellyn-Thomas H, et al. Decision aids for patients facing health treatment or screening decisions: Systematic review. BMJ 1999; 319(7212): 731-734.   DOI   ScienceOn
13 DiMatteo MR, Hays R. The significance of patients' perception conduct: A study of patient satisfaction in a family practice center. J Community Health 1980; 6(1): 18-34.   DOI   ScienceOn
14 Swanson KA, Bastani R, Rubenstein LV, Meredith LS, Ford DE. Effect of mental health care and shared decision making on patient satisfaction in a community sample of patients with depression. Med Care Res Rev 2007; 64(4): 416-430.   DOI   ScienceOn
15 Chosun Ilbo, Patients & doctors, How come they do not communicate'[cited 2009 Apr 3] Available from: URL: http://news.chosun.com/site/data/htm l-dir/2009/04/03/ 2009040303643.html. (Korean)
16 Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.
17 Clayman ML, Roter D, Wissow LS, Bandeen-Roche K. Autonomy-related behaviors of patient companions and their effect on decision-making activity in geriatric primary care visits. Soc Sci Med 2005; 60(7): 1583-1591.   DOI   ScienceOn
18 Edwards A, Elwyn G. Inside the black box of shared decision making: Distinguishing between the process of involvement and who makes the decision. Health Expect 2006; 9(4): 307-320.   DOI   ScienceOn