How does physicians' decisional conflict influence their ability to address treatment outcomes in a decision-making encounter with an advanced-stage cancer simulated patient? A descriptive study
| العنوان: | How does physicians' decisional conflict influence their ability to address treatment outcomes in a decision-making encounter with an advanced-stage cancer simulated patient? A descriptive study |
|---|---|
| المؤلفون: | Darius Razavi, Delphine Canivet, Jean-Louis Slachmuylder, Christine Farvacques, Aurore Liénard, Yves Libert, Isabelle Merckaert, Livia Peternelj, Christine Reynaert, Catherine Ménard |
| المساهمون: | UCL - (MGD) Service de médecine psychosomatique, UCL - SSS/IRSS - Institut de recherche santé et société, UCL - SSS/IREC/MONT - Pôle Mont Godinne |
| المصدر: | Patient education and counseling, Vol. 103, no. 9, p. 1752-1759 (2020) Patient education and counseling |
| بيانات النشر: | Elsevier, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Decisional conflict, Treatment outcome, Decision Making, Decisional Conflict Scale, Simulated patient, Conflict, Psychological, 03 medical and health sciences, 0302 clinical medicine, Neoplasms, Physicians, medicine, Humans, 030212 general & internal medicine, Cancer, Physician-Patient Relations, business.industry, 030503 health policy & services, Communication, Advanced stage, Uncertainty, Treatment outcomes, General Medicine, Middle Aged, medicine.disease, Patient preference, Sciences humaines, Patient Simulation, Treatment Outcome, Patient Satisfaction, Family medicine, Female, Descriptive research, Patient Participation, 0305 other medical science, business |
| الوصف: | Objectives: This descriptive study assesses how physicians’ decisional conflict influences their ability to address treatment outcomes (TOs) in a decision-making encounter with an advanced-stage cancer simulated patient (SP). Methods: Physicians (N = 138) performed a decision-making encounter with the SP trained to ask for TOs information. The physicians’ decisional conflict regarding patients’ cancer treatments in general was assessed with the General Decisional Conflict Scale (Gen-DCS). The physicians’ decisional conflict regarding the SP's cancer treatments was assessed with the Specific Decisional Conflict Scale (Spe-DCS). Physicians’ ability to address TOs during the encounter was assessed with an interaction analysis system: the Multi-Dimensional Analysis of Patient Outcome Predictions (MD.POP). Weekly time spent with cancer patients was assessed with a questionnaire. Results: Physicians’ Spe-DCS (β = -.21 ;p = .014) and weekly time spent with cancer patients (β = .22 ;p = .008) predicted the number of TOs addressed during the encounter. Spe-DCS scores predicted nearly all MD.POP dimensions (r = -.18 ;p = .040 to r = -.30 to p < .001) whereas Gen-DCS scores predicted nearly none MD.POP dimensions. Conclusion: Physicians’ specific decisional conflict interferes with their ability to address TOs in a decision-making encounter with an advanced-stage cancer SP. Practice implications: Physicians should be trained to address TOs according to patient preferences, despite their own decisional conflict. SCOPUS: ar.j info:eu-repo/semantics/published |
| وصف الملف: | 1 full-text file(s): application/pdf |
| اللغة: | English |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a94d57bef59b55e2cb5f9533489efc62 https://hdl.handle.net/2078.1/230777 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....a94d57bef59b55e2cb5f9533489efc62 |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |