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Abstract：
OBJECTIVE: This study assesses the attitudes and preferences of Chinese clinicians toward their involvement in shared decision making (SDM).
METHODS: From May 2014 to May 2015, 200 Chinese clinicians from two hospitals were enrolled to complete a survey on their attitude towards SDM. We conducted the survey via face-to-face interviews before and after an educational intervention on SDM among young Chinese clinicians. The clinicians were asked to give the extent of agreement to SDM. They also gave the extent of difficulty in using decision aids (DAs) during the SDM process. The variation in the range of responses to each question before and after the SDM intervention was recorded. The frequency of changed responses was analyzed by using JMP 6.0 software. Data were statistically analyzed using Chi-square and Mann-Whitney U tests, as appropriate to the data type. Multiple logistic regressions were used to test for those factors significantly and independently associated with preference for an approach for each scenario.
RESULTS: Of the 200 young Chinese clinicians sampled, 59.0% indicated a preference for SDM and a desire to participate in SDM before receiving education or seeing the DA, and this number increased to 69.0% after seeing the DA with the sample video of the SDM process on Statin Choice. However, 28.5% of the respondents still reported that, in their current practice, they make clinical decisions on behalf of their patients. The clinicians who denied a desire to use the DA stated that the main barriers to implement SDM or DA use in China are lack of time and knowledge of SDM.
CONCLUSIONS: Most young Chinese clinicians want to participate in SDM. However, they state the main barriers to perform SDM are lack of experience and time. The educational intervention about SDM that exposes clinicians to DAs was found to increase their receptivity.
METHODS: From May 2014 to May 2015, 200 Chinese clinicians from two hospitals were enrolled to complete a survey on their attitude towards SDM. We conducted the survey via face-to-face interviews before and after an educational intervention on SDM among young Chinese clinicians. The clinicians were asked to give the extent of agreement to SDM. They also gave the extent of difficulty in using decision aids (DAs) during the SDM process. The variation in the range of responses to each question before and after the SDM intervention was recorded. The frequency of changed responses was analyzed by using JMP 6.0 software. Data were statistically analyzed using Chi-square and Mann-Whitney U tests, as appropriate to the data type. Multiple logistic regressions were used to test for those factors significantly and independently associated with preference for an approach for each scenario.
RESULTS: Of the 200 young Chinese clinicians sampled, 59.0% indicated a preference for SDM and a desire to participate in SDM before receiving education or seeing the DA, and this number increased to 69.0% after seeing the DA with the sample video of the SDM process on Statin Choice. However, 28.5% of the respondents still reported that, in their current practice, they make clinical decisions on behalf of their patients. The clinicians who denied a desire to use the DA stated that the main barriers to implement SDM or DA use in China are lack of time and knowledge of SDM.
CONCLUSIONS: Most young Chinese clinicians want to participate in SDM. However, they state the main barriers to perform SDM are lack of experience and time. The educational intervention about SDM that exposes clinicians to DAs was found to increase their receptivity.
摘要：
目的：本研究评估了中国临床医生对参与共同决策（SDM）的态度和偏好。
方法：2014年5月至2015年5月，纳入了来自两家医院的200名中国临床医生，以完成对SDM态度的调查。我们通过对年轻中国临床医生进行SDM教育干预前后的面对面访谈进行了调查。临床医生被要求给出与SDM的一致程度。他们还给出了在SDM过程中使用决策辅助（DA）的困难程度。记录SDM干预前后对每个问题的回答范围的变化。通过使用JMP6.0软件分析改变的响应的频率。数据采用卡方检验和Mann-WhitneyU检验进行统计分析，取决于数据类型。使用多重逻辑回归来测试那些与每种方案的方法的偏好显著且独立相关的因素。
结果：在200名年轻的中国临床医生中，59.0％的人表示偏爱SDM，并希望在接受教育或看到DA之前参与SDM，在StatinChoice上看到带有SDM流程示例视频的DA后，这一数字增加到69.0%。然而,28.5%的受访者仍然报告说，在他们目前的实践中，他们代表患者做出临床决定。拒绝使用DA的临床医生表示，在中国实施SDM或DA使用的主要障碍是缺乏时间和对SDM的了解。
结论：大多数年轻的中国临床医生都希望参与SDM。然而,他们指出执行SDM的主要障碍是缺乏经验和时间。发现有关SDM的教育干预使临床医生接触DA可以提高他们的接受度。
方法：2014年5月至2015年5月，纳入了来自两家医院的200名中国临床医生，以完成对SDM态度的调查。我们通过对年轻中国临床医生进行SDM教育干预前后的面对面访谈进行了调查。临床医生被要求给出与SDM的一致程度。他们还给出了在SDM过程中使用决策辅助（DA）的困难程度。记录SDM干预前后对每个问题的回答范围的变化。通过使用JMP6.0软件分析改变的响应的频率。数据采用卡方检验和Mann-WhitneyU检验进行统计分析，取决于数据类型。使用多重逻辑回归来测试那些与每种方案的方法的偏好显著且独立相关的因素。
结果：在200名年轻的中国临床医生中，59.0％的人表示偏爱SDM，并希望在接受教育或看到DA之前参与SDM，在StatinChoice上看到带有SDM流程示例视频的DA后，这一数字增加到69.0%。然而,28.5%的受访者仍然报告说，在他们目前的实践中，他们代表患者做出临床决定。拒绝使用DA的临床医生表示，在中国实施SDM或DA使用的主要障碍是缺乏时间和对SDM的了解。
结论：大多数年轻的中国临床医生都希望参与SDM。然而,他们指出执行SDM的主要障碍是缺乏经验和时间。发现有关SDM的教育干预使临床医生接触DA可以提高他们的接受度。
