Could shared decision making affect staying in hospital? A cross-sectional pilot study
Abstract Background Shared Decision Making (SDM) is an approach where clinicians and patients share the best available evidence to make decision and where patients opinions are considered. This approach provides benefits for patients, clinicians and health care system. The aim of the present study i...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2019-03-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12913-019-4002-8 |
| _version_ | 1811296620449366016 |
|---|---|
| author | M. R. Gualano F. Bert S. Passi M. Stillo V. Brescia G. Scaioli R. Thomas G. Voglino D. Minniti F. Boraso R. Siliquini |
| author_facet | M. R. Gualano F. Bert S. Passi M. Stillo V. Brescia G. Scaioli R. Thomas G. Voglino D. Minniti F. Boraso R. Siliquini |
| author_sort | M. R. Gualano |
| collection | DOAJ |
| description | Abstract Background Shared Decision Making (SDM) is an approach where clinicians and patients share the best available evidence to make decision and where patients opinions are considered. This approach provides benefits for patients, clinicians and health care system. The aim of the present study is to investigate the patients’ perception of their participation in treatment choices and to identify the possible influences of variables in decision aids and therapeutic choices. Furthermore the present study evaluates the impact of SDM on the length of hospital stay and the health expenditure in Piemonte, an Italian region. Methods A cross-sectional study was performed in 2016. The patients were selected after hospitalization to clinical and surgical units at the Rivoli and Susa Hospital. Data were collected through the questionnaire and the Hospital Discharge Registers. STROBE guidelines for observational studies were used. A descriptive analysis was conducted. Frequencies and percentages of the categorical variables were reported. Statistical analyses were performed using t-test, chi-square test and Mann-Whitney test. Results The final sample was made of 174 subjects. More than half of the sample reported a SDM approach. Female gender (p = 0.027) and lower age (p = 0.047) are associated with an increased possibility to report SDM. Receiving “good” or “excellent” information, having their own request fulfilled and their opinions took into account by healthcare professionals, were all found to be predictors for an approach recognized as SDM (p ≤ 0.05). The perception that healthcare professionals spent a proper amount of time with the patients and used an understendable language are factors increase the chance of a “shared” decision process (p ≤ 0.05). The patients trust in the information given by the healthcare professional is not affecting their perception about the decision making process (P = 0.195). No significant difference where recorded in length of stay and hospital expenditure. Conclusions The data show the role played by different dimension of the patients-clinician relationship and that the strongest determinant of a perceived shared decision making approach are healthcare professional-depending. |
| first_indexed | 2024-04-13T05:51:14Z |
| format | Article |
| id | doaj.art-554cc31e8321412eb348334afb561b83 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-13T05:51:14Z |
| publishDate | 2019-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-554cc31e8321412eb348334afb561b832022-12-22T02:59:46ZengBMCBMC Health Services Research1472-69632019-03-011911810.1186/s12913-019-4002-8Could shared decision making affect staying in hospital? A cross-sectional pilot studyM. R. Gualano0F. Bert1S. Passi2M. Stillo3V. Brescia4G. Scaioli5R. Thomas6G. Voglino7D. Minniti8F. Boraso9R. Siliquini10Department of Public Health Sciences, University of TurinDepartment of Public Health Sciences, University of TurinLocal Health Unit, ASL TO 3Department of Public Health Sciences, University of TurinDepartment of Management, University of TorinoDepartment of Public Health Sciences, University of TurinDepartment of Public Health Sciences, University of TurinDepartment of Public Health Sciences, University of TurinLocal Health Unit, ASL TO 3Local Health Unit, ASL TO 3Department of Public Health Sciences, University of TurinAbstract Background Shared Decision Making (SDM) is an approach where clinicians and patients share the best available evidence to make decision and where patients opinions are considered. This approach provides benefits for patients, clinicians and health care system. The aim of the present study is to investigate the patients’ perception of their participation in treatment choices and to identify the possible influences of variables in decision aids and therapeutic choices. Furthermore the present study evaluates the impact of SDM on the length of hospital stay and the health expenditure in Piemonte, an Italian region. Methods A cross-sectional study was performed in 2016. The patients were selected after hospitalization to clinical and surgical units at the Rivoli and Susa Hospital. Data were collected through the questionnaire and the Hospital Discharge Registers. STROBE guidelines for observational studies were used. A descriptive analysis was conducted. Frequencies and percentages of the categorical variables were reported. Statistical analyses were performed using t-test, chi-square test and Mann-Whitney test. Results The final sample was made of 174 subjects. More than half of the sample reported a SDM approach. Female gender (p = 0.027) and lower age (p = 0.047) are associated with an increased possibility to report SDM. Receiving “good” or “excellent” information, having their own request fulfilled and their opinions took into account by healthcare professionals, were all found to be predictors for an approach recognized as SDM (p ≤ 0.05). The perception that healthcare professionals spent a proper amount of time with the patients and used an understendable language are factors increase the chance of a “shared” decision process (p ≤ 0.05). The patients trust in the information given by the healthcare professional is not affecting their perception about the decision making process (P = 0.195). No significant difference where recorded in length of stay and hospital expenditure. Conclusions The data show the role played by different dimension of the patients-clinician relationship and that the strongest determinant of a perceived shared decision making approach are healthcare professional-depending.http://link.springer.com/article/10.1186/s12913-019-4002-8Share decision makingLength of stayHealth expenditurePatient-doctor relationship |
| spellingShingle | M. R. Gualano F. Bert S. Passi M. Stillo V. Brescia G. Scaioli R. Thomas G. Voglino D. Minniti F. Boraso R. Siliquini Could shared decision making affect staying in hospital? A cross-sectional pilot study BMC Health Services Research Share decision making Length of stay Health expenditure Patient-doctor relationship |
| title | Could shared decision making affect staying in hospital? A cross-sectional pilot study |
| title_full | Could shared decision making affect staying in hospital? A cross-sectional pilot study |
| title_fullStr | Could shared decision making affect staying in hospital? A cross-sectional pilot study |
| title_full_unstemmed | Could shared decision making affect staying in hospital? A cross-sectional pilot study |
| title_short | Could shared decision making affect staying in hospital? A cross-sectional pilot study |
| title_sort | could shared decision making affect staying in hospital a cross sectional pilot study |
| topic | Share decision making Length of stay Health expenditure Patient-doctor relationship |
| url | http://link.springer.com/article/10.1186/s12913-019-4002-8 |
| work_keys_str_mv | AT mrgualano couldshareddecisionmakingaffectstayinginhospitalacrosssectionalpilotstudy AT fbert couldshareddecisionmakingaffectstayinginhospitalacrosssectionalpilotstudy AT spassi couldshareddecisionmakingaffectstayinginhospitalacrosssectionalpilotstudy AT mstillo couldshareddecisionmakingaffectstayinginhospitalacrosssectionalpilotstudy AT vbrescia couldshareddecisionmakingaffectstayinginhospitalacrosssectionalpilotstudy AT gscaioli couldshareddecisionmakingaffectstayinginhospitalacrosssectionalpilotstudy AT rthomas couldshareddecisionmakingaffectstayinginhospitalacrosssectionalpilotstudy AT gvoglino couldshareddecisionmakingaffectstayinginhospitalacrosssectionalpilotstudy AT dminniti couldshareddecisionmakingaffectstayinginhospitalacrosssectionalpilotstudy AT fboraso couldshareddecisionmakingaffectstayinginhospitalacrosssectionalpilotstudy AT rsiliquini couldshareddecisionmakingaffectstayinginhospitalacrosssectionalpilotstudy |