Japanese physicians’ preferences for decision making in rheumatoid arthritis treatment
Akiko Aoki,1 Sadayoshi Ohbu2 1Department of Rheumatology, Tokyo Medical University Hachioji Medical Center, 2Department of Sociology, Rikkyo University, Tokyo, Japan Background: Rheumatoid arthritis (RA) is a complex chronic illness requiring continued medical care. During the past decade, the the...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2016-01-01
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| Series: | Patient Preference and Adherence |
| Subjects: | |
| Online Access: | https://www.dovepress.com/japanese-physiciansrsquo-preferences-for-decision-making-in-rheumatoid-peer-reviewed-article-PPA |
| _version_ | 1828945124359405568 |
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| author | Aoki A Ohbu S |
| author_facet | Aoki A Ohbu S |
| author_sort | Aoki A |
| collection | DOAJ |
| description | Akiko Aoki,1 Sadayoshi Ohbu2 1Department of Rheumatology, Tokyo Medical University Hachioji Medical Center, 2Department of Sociology, Rikkyo University, Tokyo, Japan Background: Rheumatoid arthritis (RA) is a complex chronic illness requiring continued medical care. During the past decade, the therapeutic options for RA have increased significantly; these often have a higher risk of adverse effects and are more expensive than traditional drugs. Rheumatologists may hence face difficulties when deciding on the optimal modality in initiating or changing treatment. The aim of this study was to explore the Japanese physicians’ usual style of and preferences for decision making regarding RA treatment.Methods: This was a cross-sectional study conducted using an Internet survey. Respondents were asked about their usual style of making treatment decisions (perceived style), and their perception of the importance of physicians’ actions and patients’ attitudes.Results: Of the 485 physicians who were sent the questionnaire, 157 responded completely (response rate: 32.3%). Ninety-two percent of the respondents were men, and 57% were clinicians with more than 20 years of experience. Their specialties were general medicine (29%), rheumatology (27%), orthopedics (31%), and rehabilitation (12%). Sixty-one (39%) stated that they usually presented multiple treatment options to their patients and selected a decision for them, 42 (27%) shared the decision making with their patients, 34 (22%) let their patients choose the treatment, and 20 (13%) made the treatment decision for the patients. Physicians using the shared decision making (SDM) style desired for their patients to have supportive family and friends, to discuss with nurses, and to follow the doctors’ directions more strongly compared with physicians using the other styles. There were no significant differences in sex, duration of clinical experience, major place of clinical work, and number of patients per month by the styles. More number of rheumatologists and physicians with specialist qualifications stated that they practiced SDM.Conclusion: To enhance patient participation, physicians need to recognize the importance of discussing treatment options with patients in addition to giving them information. Keywords: physician, decision making, rheumatoid arthritis |
| first_indexed | 2024-12-14T04:47:21Z |
| format | Article |
| id | doaj.art-e92a35b4110b4ff194f89ee4a3826f4b |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-12-14T04:47:21Z |
| publishDate | 2016-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-e92a35b4110b4ff194f89ee4a3826f4b2022-12-21T23:16:39ZengDove Medical PressPatient Preference and Adherence1177-889X2016-01-012016Issue 110711325411Japanese physicians’ preferences for decision making in rheumatoid arthritis treatmentAoki AOhbu SAkiko Aoki,1 Sadayoshi Ohbu2 1Department of Rheumatology, Tokyo Medical University Hachioji Medical Center, 2Department of Sociology, Rikkyo University, Tokyo, Japan Background: Rheumatoid arthritis (RA) is a complex chronic illness requiring continued medical care. During the past decade, the therapeutic options for RA have increased significantly; these often have a higher risk of adverse effects and are more expensive than traditional drugs. Rheumatologists may hence face difficulties when deciding on the optimal modality in initiating or changing treatment. The aim of this study was to explore the Japanese physicians’ usual style of and preferences for decision making regarding RA treatment.Methods: This was a cross-sectional study conducted using an Internet survey. Respondents were asked about their usual style of making treatment decisions (perceived style), and their perception of the importance of physicians’ actions and patients’ attitudes.Results: Of the 485 physicians who were sent the questionnaire, 157 responded completely (response rate: 32.3%). Ninety-two percent of the respondents were men, and 57% were clinicians with more than 20 years of experience. Their specialties were general medicine (29%), rheumatology (27%), orthopedics (31%), and rehabilitation (12%). Sixty-one (39%) stated that they usually presented multiple treatment options to their patients and selected a decision for them, 42 (27%) shared the decision making with their patients, 34 (22%) let their patients choose the treatment, and 20 (13%) made the treatment decision for the patients. Physicians using the shared decision making (SDM) style desired for their patients to have supportive family and friends, to discuss with nurses, and to follow the doctors’ directions more strongly compared with physicians using the other styles. There were no significant differences in sex, duration of clinical experience, major place of clinical work, and number of patients per month by the styles. More number of rheumatologists and physicians with specialist qualifications stated that they practiced SDM.Conclusion: To enhance patient participation, physicians need to recognize the importance of discussing treatment options with patients in addition to giving them information. Keywords: physician, decision making, rheumatoid arthritishttps://www.dovepress.com/japanese-physiciansrsquo-preferences-for-decision-making-in-rheumatoid-peer-reviewed-article-PPAshared decision makingphysicianrheumatoid arthritispreferencequestionnaire |
| spellingShingle | Aoki A Ohbu S Japanese physicians’ preferences for decision making in rheumatoid arthritis treatment Patient Preference and Adherence shared decision making physician rheumatoid arthritis preference questionnaire |
| title | Japanese physicians’ preferences for decision making in rheumatoid arthritis treatment |
| title_full | Japanese physicians’ preferences for decision making in rheumatoid arthritis treatment |
| title_fullStr | Japanese physicians’ preferences for decision making in rheumatoid arthritis treatment |
| title_full_unstemmed | Japanese physicians’ preferences for decision making in rheumatoid arthritis treatment |
| title_short | Japanese physicians’ preferences for decision making in rheumatoid arthritis treatment |
| title_sort | japanese physicians rsquo preferences for decision making in rheumatoid arthritis treatment |
| topic | shared decision making physician rheumatoid arthritis preference questionnaire |
| url | https://www.dovepress.com/japanese-physiciansrsquo-preferences-for-decision-making-in-rheumatoid-peer-reviewed-article-PPA |
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