Most important factors for the implementation of shared decision making in sciatica care: ranking among professionals and patients.

<h4>Introduction</h4>Due to the increasing specialization of medical professionals, patients are treated by multiple disciplines. To ensure that delivered care is patient-centered, it is crucial that professionals and the patient together decide on treatment (shared decision making (SDM)...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Stefanie N Hofstede, Leti van Bodegom-Vos, Manon M Wentink, Carmen L A Vleggeert-Lankamp, Thea P M Vliet Vlieland, Perla J Marang-van de Mheen, DISC study group
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a96b70bfecbf4fc9b42cdcf4be59db4c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a96b70bfecbf4fc9b42cdcf4be59db4c
record_format	dspace
spelling	oai:doaj.org-article:a96b70bfecbf4fc9b42cdcf4be59db4c2021-11-18T08:24:34ZMost important factors for the implementation of shared decision making in sciatica care: ranking among professionals and patients.1932-620310.1371/journal.pone.0094176https://doaj.org/article/a96b70bfecbf4fc9b42cdcf4be59db4c2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24710328/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4>Due to the increasing specialization of medical professionals, patients are treated by multiple disciplines. To ensure that delivered care is patient-centered, it is crucial that professionals and the patient together decide on treatment (shared decision making (SDM)). However, it is not known how SDM should be integrated in multidisciplinary practice. This study determines the most important factors for SDM implementation in sciatica care, as it is known that a prior inventory of factors is crucial to develop a successful implementation strategy.<h4>Methods</h4>246 professionals (general practitioners, physical therapists, neurologists, neurosurgeons, orthopedic surgeons) (30% response) and 155 patients (96% response) responded to an internet-based survey. Respondents ranked barriers and facilitators identified in previous interviews, on their importance using Maximum Difference Scaling. Feeding back the personal top 5 most important factors, each respondent indicated whether these factors were barriers or facilitators. Hierarchical Bayes estimation was used to estimate the relative importance (RI) of each factor.<h4>Results</h4>Professionals assigned the highest importance to: quality of professional-patient relationship (RI 4.87; CI 4.75-4.99); importance of quick recovery of patient (RI 4.83; CI 4.69-4.97); and knowledge about treatment options (RI 6.64; CI 4.53-4.74), which were reported as barrier and facilitator. Professionals working in primary care had a different ranking than those working in hospital care. Patients assigned the highest importance to: correct diagnosis by professionals (barrier, RI 8.19; CI 7.99-8.38); information provision about treatment options and potential harm and benefits (RI 7.87; CI 7.65-8.08); and explanation of the professional about the care trajectory (RI 7.16; CI 6.94-7.38), which were reported as barrier and facilitator.<h4>Conclusions</h4>Knowledge, information provision and a good relationship are the most important conditions for SDM perceived by both patients and professionals. These conditions are not restricted to one specific disease or health care system, because they are mostly professional or patient dependent and require healthcare professional training.Stefanie N HofstedeLeti van Bodegom-VosManon M WentinkCarmen L A Vleggeert-LankampThea P M Vliet VlielandPerla J Marang-van de MheenDISC study groupPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 4, p e94176 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Stefanie N Hofstede Leti van Bodegom-Vos Manon M Wentink Carmen L A Vleggeert-Lankamp Thea P M Vliet Vlieland Perla J Marang-van de Mheen DISC study group Most important factors for the implementation of shared decision making in sciatica care: ranking among professionals and patients.
description	<h4>Introduction</h4>Due to the increasing specialization of medical professionals, patients are treated by multiple disciplines. To ensure that delivered care is patient-centered, it is crucial that professionals and the patient together decide on treatment (shared decision making (SDM)). However, it is not known how SDM should be integrated in multidisciplinary practice. This study determines the most important factors for SDM implementation in sciatica care, as it is known that a prior inventory of factors is crucial to develop a successful implementation strategy.<h4>Methods</h4>246 professionals (general practitioners, physical therapists, neurologists, neurosurgeons, orthopedic surgeons) (30% response) and 155 patients (96% response) responded to an internet-based survey. Respondents ranked barriers and facilitators identified in previous interviews, on their importance using Maximum Difference Scaling. Feeding back the personal top 5 most important factors, each respondent indicated whether these factors were barriers or facilitators. Hierarchical Bayes estimation was used to estimate the relative importance (RI) of each factor.<h4>Results</h4>Professionals assigned the highest importance to: quality of professional-patient relationship (RI 4.87; CI 4.75-4.99); importance of quick recovery of patient (RI 4.83; CI 4.69-4.97); and knowledge about treatment options (RI 6.64; CI 4.53-4.74), which were reported as barrier and facilitator. Professionals working in primary care had a different ranking than those working in hospital care. Patients assigned the highest importance to: correct diagnosis by professionals (barrier, RI 8.19; CI 7.99-8.38); information provision about treatment options and potential harm and benefits (RI 7.87; CI 7.65-8.08); and explanation of the professional about the care trajectory (RI 7.16; CI 6.94-7.38), which were reported as barrier and facilitator.<h4>Conclusions</h4>Knowledge, information provision and a good relationship are the most important conditions for SDM perceived by both patients and professionals. These conditions are not restricted to one specific disease or health care system, because they are mostly professional or patient dependent and require healthcare professional training.
format	article
author	Stefanie N Hofstede Leti van Bodegom-Vos Manon M Wentink Carmen L A Vleggeert-Lankamp Thea P M Vliet Vlieland Perla J Marang-van de Mheen DISC study group
author_facet	Stefanie N Hofstede Leti van Bodegom-Vos Manon M Wentink Carmen L A Vleggeert-Lankamp Thea P M Vliet Vlieland Perla J Marang-van de Mheen DISC study group
author_sort	Stefanie N Hofstede
title	Most important factors for the implementation of shared decision making in sciatica care: ranking among professionals and patients.
title_short	Most important factors for the implementation of shared decision making in sciatica care: ranking among professionals and patients.
title_full	Most important factors for the implementation of shared decision making in sciatica care: ranking among professionals and patients.
title_fullStr	Most important factors for the implementation of shared decision making in sciatica care: ranking among professionals and patients.
title_full_unstemmed	Most important factors for the implementation of shared decision making in sciatica care: ranking among professionals and patients.
title_sort	most important factors for the implementation of shared decision making in sciatica care: ranking among professionals and patients.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/a96b70bfecbf4fc9b42cdcf4be59db4c
work_keys_str_mv	AT stefanienhofstede mostimportantfactorsfortheimplementationofshareddecisionmakinginsciaticacarerankingamongprofessionalsandpatients AT letivanbodegomvos mostimportantfactorsfortheimplementationofshareddecisionmakinginsciaticacarerankingamongprofessionalsandpatients AT manonmwentink mostimportantfactorsfortheimplementationofshareddecisionmakinginsciaticacarerankingamongprofessionalsandpatients AT carmenlavleggeertlankamp mostimportantfactorsfortheimplementationofshareddecisionmakinginsciaticacarerankingamongprofessionalsandpatients AT theapmvlietvlieland mostimportantfactorsfortheimplementationofshareddecisionmakinginsciaticacarerankingamongprofessionalsandpatients AT perlajmarangvandemheen mostimportantfactorsfortheimplementationofshareddecisionmakinginsciaticacarerankingamongprofessionalsandpatients AT discstudygroup mostimportantfactorsfortheimplementationofshareddecisionmakinginsciaticacarerankingamongprofessionalsandpatients
_version_	1718421821564387328

Most important factors for the implementation of shared decision making in sciatica care: ranking among professionals and patients.

Ejemplares similares