Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-19T09:12:58.589Z Has data issue: false hasContentIssue false
  • English
  • Français

Physician–patient shared decision making, patient satisfaction, and adoption of new health technology in China

Published online by Cambridge University Press:  02 October 2020

Yan Wei ,
Jian Ming ,
Lizheng Shi ,
Xiong Ke ,
Hui Sun  and
Yingyao Chen Open the ORCID record for Yingyao Chen [Opens in a new window]
Yan Wei
Affiliation:
Key Lab of Health Technology Assessment (Ministry of Health), School of Public Health, Fudan University, Shanghai, China
Jian Ming
Affiliation:
Key Lab of Health Technology Assessment (Ministry of Health), School of Public Health, Fudan University, Shanghai, China
Lizheng Shi
Affiliation:
School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA
Xiong Ke
Affiliation:
School of Management, North Sichuan Medical College, Nanchong, China
Hui Sun
Affiliation:
Key Lab of Health Technology Assessment (Ministry of Health), School of Public Health, Fudan University, Shanghai, China
Yingyao Chen*
Affiliation:
Key Lab of Health Technology Assessment (Ministry of Health), School of Public Health, Fudan University, Shanghai, China
*
Author for correspondence: Yingyao Chen, E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To examine the association between physician–patient treatments shared decision making (SDM), patient satisfaction, and adoption of a new health technology.

Methods

A cross-sectional study was conducted from July 2016 to October 2016 in Fujian Province and Shanghai, in Eastern China. A total of 542 physicians and 619 patients in eleven hospitals were surveyed. Patients and their treating physicians completed self-reported questionnaires on patient–physician SDM, satisfaction with treatment decision making and adoption of a new health technology. Correlation analysis, multivariate logistic regression and multivariate linear regression were performed.

Results

The majority (68.20 percent) of patients preferred SDM. Involvement of patients in SDM was positively associated with their satisfaction with treatment decision making (p < .001) and adoption of a new health technology (p < .05). Better concordance between their preference and actual SDM was positively associated with patients' adoption behavior (p < .05), but no statistically significant association was found between concordance and satisfaction.

Conclusion

SDM was the most important predictor of patients' satisfaction with decision making and adoption of a new health technology. Therefore, better communication between physicians and patients is recommended to improve their SDM, increase patient satisfaction and to assist with the adoption of new technologies. Training healthcare provider and teaching communication skills in working with patients in the initial stage of technology diffusion is required.

Keywords

Shared decision makingSatisfactionPatient involvementAdoptionNew health technology
Type
Assessment
Information
International Journal of Technology Assessment in Health Care , Volume 36 , Issue 5 , October 2020 , pp. 518 - 524
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Xu, JJW, Zhu, K, Kwon, S, Fang, H. Reforming public hospital financing in China: Progress and challenges. Br Med J. 2019;365:I4015.CrossRefGoogle ScholarPubMed
Rogers, EM. Diffusion of innovations. New York: Free Press; 2003.Google Scholar
Trisha Greenhalgh, GR, Bate, P, Macfarlane, F, Kyriakidou, O. Diffusion of innovations in health service organizations: A systematic literature review. London: Blackwell Publishing.Google Scholar
Escarce, JJ. Externalities in hospitals and physician adoption of a new surgical technology: An exploratory analysis. J Health Econ. 1996;15:715–34.CrossRefGoogle ScholarPubMed
Dirksen, CD, Ament, AJH, Go, PMN. Diffusion of six surgical endoscopic procedures in the Netherlands. Stimulating and restraining factors. Health Policy 1996;37:91–104.CrossRefGoogle ScholarPubMed
O'Sullivan, CT. The adoption of drug-eluting cardiac stent technology: An application of Roger's model. Iowa: University of Iowa; 2008.Google Scholar
Guo, Z-DC-Z, Mao, Y-W, Liu, W-B, Meng, T, Wu, B-S, Yuan, H et al. The current status study on health technology assessment programs funded by National Natural Science Foundation of China. Chinese Health Resour 2016;19:440–43.Google Scholar
Yan, K. Development status and future direction of health technology assessment. J Med Inform 2013;34:6–9.Google Scholar
Guo Xue, LQ, Yu, X-Y, Yuan, B-C, Wang, Y, Wang, R-H. Appropriate health technology assessment studies in China: A systematic review. Chinese J Evidence-based Med 2012;12:1407–15.Google Scholar
Tang, M. Analysis on the status and influencing factors of knowledge translation from health technology assessment to health policy-making in China from the perspective of policy-makers. Shanghai: Fudan University; 2014.Google Scholar
Mao, Y. Research on current situation and influencing factors of knowledge translation from health technology assessment to health policy-making in China from the perspective of researchers. Shanghai: Fudan University; 2014.Google Scholar
Murray, EPL, White, M, Lo, B. Clinical decision-making: Patients’ preferences and experiences. Patient Educ Consultation 2007;65:189–96.CrossRefGoogle ScholarPubMed
Shared decision making Available from https://www.england.nhs.uk/shared-decision-making/Google Scholar
Gattellari, MBP, Tattersall, MHN. Sharing decisions in cancer care. Soc Sci Med 2001;52:1865–78.CrossRefGoogle ScholarPubMed
Golin, CDM, Duan, N, Leake, B, Gelberg, LJ. Impoverished diabetic patients whose doctors facilitate their participation in medical decision making are more satisfied with their care. Gen Intern Med 2002;17:857–66.CrossRefGoogle ScholarPubMed
Drew, PCJ, Collins, S. Conversation analysis: A method for research into interactions between patients and health-care professionals. Health Expectations: An Int J Public Participation Health Care Health Policy 2001;4:58–70.CrossRefGoogle ScholarPubMed
Street, RLJVB. Patient participation in deciding breast cancer treatment and subsequent quality of life. Med Decis Making 1997;17:298–306.CrossRefGoogle ScholarPubMed
Robinski, M, Mau, W, Wienke, A, Girndt, M. Shared decision-making in chronic kidney disease: A retrospection of recently initiated dialysis patients in Germany. Patient Educ Couns. 2016;99:562–70.CrossRefGoogle ScholarPubMed
Oshima Lee, E, J Emanuel, E. Shared decision making to improve care and reduce costs. N Engl J Med 2013;368:6–8.CrossRefGoogle ScholarPubMed
Gisèle Diendéré, SCD, Rocque, R, Julien, A-S, Légaré, F, Côté, L, Mahmoudi, S et al. How often do both core competencies of shared decision making occur in family medicine teaching clinics? Canadian Family Physician 2019;65:e64–75.Google Scholar
Erica Colligan, AM, Tiryaki, E. Shared decision-making in multiple sclerosis. Multiple Sclerosis J 2017;2:185–90.CrossRefGoogle Scholar
Huang, Y. The sick man of Asia: China's health crisis. Foreign Affairs 2011;90:119–36.Google Scholar
Mundy, L, Trowman, R, Kearney, B. Improving access to high-cost technologies in the Asia region. Int J Technol Assess Health Care 2019;35:168–75.CrossRefGoogle ScholarPubMed
Zheng, PFT, Johnston, K. Public hospitals in China: Privatisation, the demise of universal health care and the rise of patient-doctor violence. J Law Med 2006;13:465–70.Google ScholarPubMed
Zhang, XQMS. Tensions between medical professionals and patients in mainland China. Camb Quart Healthcare Ethics J 2011;20:458–65.CrossRefGoogle ScholarPubMed
The, L. Violence against doctors: Why China? Why now? What next? Lancet 2014;383:1013.Google Scholar
Wang Fang, YS-S, Li, C-C. The utilization and effects of patients’ participation in community prevention and control of chronic diseases. Chinese Primary Health Care 2016;30:21–27.Google Scholar
Shao Zhiwei, ZR, Yan, Z, Jie, P, Huiqiong, Y. Patient participation in medication safety management: Prevention of drug administration errors. J Nursing Sci 2012;27:51–52.Google Scholar
Zhang Binyuan, LJ, Liping, J. Survey of medical staff on willingness and behavior of patients participating in medical safety. Chinese Health Qual Manage 2014;21:64–69.Google Scholar
Ye, X-CL-J, Liu, X-H. Study on the theoretical framework of patient participation in patient safety: A grounded theory study. Chinese J Nursing 2014;49:645.Google Scholar
Shu, ZWY, Yao, GZ. Attitude and implementation of clinical staffs on participation in treatment of patients with psychotic illness. Chin Mental Health J 2010;24:574–78.Google Scholar
Kreps, GOHD, Clowers, M. The influences of human communication on health outcomes. Am Behav Sci 1994;38:248–56.CrossRefGoogle Scholar
Shay, LA, Lafata, JE. Where is the evidence? A systematic review of shared decision making and patient outcomes. Med Decis Making 2015;35:114–31.CrossRefGoogle ScholarPubMed
L. Kriston, IS, Hölzel, L. The 9-item shared decision making questionnaire (SDM-Q-9): Development and psychometric properties in a primary care sample. Patient Educ Couns. 2010;80:94–99.CrossRefGoogle Scholar
Bruera, ESC, Calder, K, Palmer, L, Benisch-Tolley, S. Patient preferences versus physician perceptions of treatment decisions in cancer care. J Clin Oncol. 2001;19:2883–85.CrossRefGoogle ScholarPubMed
Camerini, AL, Schulz, PJ. Patients’ need for information provision and perceived participation in decision making in doctor-patient consultation: Micro-cultural differences between French- and Italian-speaking Switzerland. Patient Educ Couns. 2016;99:462–69.CrossRefGoogle ScholarPubMed
Zheng, Y, Huang, W, Xiao, B, Qu, B, Peng, W, Liu, B et al. Preferences for participation in shared decision-making among cataract patients in urban southern China: A cross-sectional study. Lancet 2016, 388:S56.CrossRefGoogle Scholar
Hou, X-T, Pang, D, Lu, Q, Xu, Z, Zhou, Y-J. Preferred and actual participation roles in operation treatment decision making of patients with colorectal cancer. Int J Nursing Sci 2014;1(4):376–80.CrossRefGoogle Scholar
Liu, X, Rohrer, W, Luo, A, Fang, Z, He, T, Xie, W. Doctor-patient communication skills training in mainland China: A systematic review of the literature. Patient Educ Couns. 2015;98:3–14.CrossRefGoogle ScholarPubMed
Peres, R, Muller, E, Mahajan, V: Innovation diffusion and new product growth models: A critical review and research directions. Int J Res Mark 2010, 27:91–106.CrossRefGoogle Scholar
Ananian, P, Houvenaeghel, G, Protiere, C, Rouanet, P, Arnaud, S, Moatti, JP et al. Determinants of patients’ choice of reconstruction with mastectomy for primary breast cancer. Ann Surg Oncol. 2004;11:762–71.CrossRefGoogle ScholarPubMed
Langseth, MS, Shepherd, E, Thomson, R, Lord, S. Quality of decision making is related to decision outcome for patients with cardiac arrhythmia. Patient Educ Couns. 2012;87:49–53.10.1016/j.pec.2011.07.028CrossRefGoogle ScholarPubMed
Mandelblatt, J, Kreling, B, Figeuriedo, M, Feng, S. What is the impact of shared decision making on treatment and outcomes for older women with breast cancer? J Clin Oncol 2006;24:4908–13.CrossRefGoogle ScholarPubMed
Wallen, GR, Brooks, AT. To tell or not to tell: Shared decision making, CAM use and disclosure Among underserved patients with rheumatic diseases. Integr Med Insights. 2012;7:15–22.CrossRefGoogle ScholarPubMed
Deadmana, JM, Leinster, SJ, Owensc, RG, Deweyd, ME, Sladee, PD. Taking responsibility for cancer treatment. Soc Sci Med. 2001;53:669–77.CrossRefGoogle Scholar
Frosch, DL, May, SG, Rendle, KA, Tietbohl, C, Elwyn, G. Authoritarian physicians and patients’ fear of being labeled “difficult” among key obstacles to shared decision making. Health Affair 2012;31:1030–38.CrossRefGoogle ScholarPubMed
Légaré, F, Stacey, D, Turcotte, S, Cossi, M, Kryworuchko, J, Graham, ID, Lyddiatt, A, Politi, MC, Thomson, R, Elwyn, G, Donner-Banzhoff, N Interventions for improving the adoption of shared decision making by healthcare professionals. Cochrane Database Syst Rev 2010;12:CD006732.Google Scholar
Say, RMM, Thomson, R. Patients’ preference for involvement in medical decision-making: A narrative review. Patient Educ Couns. 2006;60:102–14.CrossRefGoogle ScholarPubMed
Wendy Lam, RF, Chan, M, Chow, L, Ho, E. Participation and satisfaction with surgical treatment decision-making in breast cancer among Chinese women. Breast Cancer Res Treat. 2003;80:171–80.Google Scholar
Supplementary material: File

Wei et al. supplementary material

Wei et al. supplementary material

Download Wei et al. supplementary material(File)
File 40.5 KB