Association between physicians' and patients' perspectives of shared decision making in primary care settings in Japan: The impact of environmental factors.
Association between physicians' and patients' perspectives of shared decision making in primary care settings in Japan: The impact of environmental factors.
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DOI：
10.1371/journal.pone.0246518
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Arai H
中科院分区：
文献类型：
--
作者：
Goto Y;Miura H;Son D;Scholl I;Kriston L;Härter M;Sato K;Kusaba T;Arai H
共享决策（SDM）最近才开始获得日本医学界的认可。本研究的目的是创建一个日本版本的SDM-Q-Doc，这是一个规模，衡量SDM从医生的角度来看，并澄清其心理测量特性，并确定影响SDM的问题和因素。参与者是23名医生和130名首次访问日本初级保健诊所的患者。在医生-患者访谈后，立即分别向患者和医生提供SDM-Q-9和SDM-Q-Doc的日文版。对于收敛效度，医生的信心，在医疗采访（PCMI）。在确定了SDM-Q-Doc的内部一致性和有效性后，通过多元回归分析和结构方程模型（SEM）评估了SDM-Q-Doc、SDM-Q-9、医生的社会人口学属性和门诊期间护士出勤率之间的关系。因素分析证实，SDM-Q-Doc日文版呈现单因素结构，内部一致性较高（Cronbach's α = 0.87，ω = 0.88）。PCMI和SDM-Q-Doc之间的相关性证实了适当的收敛效度（r = 0.406; p < 0.001）。多元回归分析显示，护士在会诊期间的出席显着影响一个项目的SDM-Q-Doc，这反过来又影响一个项目的SDM-Q-9。SEM显示这三个项目的模型拟合良好。在日本的门诊医疗咨询中，SDM-Q-Doc的日文版本的内部一致性和有效性得到了证实。此外，这项研究表明，在促进SDM的医患协商护士的出席的作用。此外，使用日文版的SDM-Q-Doc将通过检查SDM的质量促进医疗专业人员的沟通技能培训。
Shared decision-making (SDM) has only lately begun attaining recognition from the Japanese medical community. The purpose of this study was to create a Japanese version of the SDM-Q-Doc, which is a scale that measures SDM from the perspective of physicians, and to clarify its psychometric characteristics and identify the issues and factors that affect SDM. The participants were 23 physicians and 130 patients who visited primary care clinics in Japan for the first time. Immediately following physician–patient interviews, the Japanese version of SDM-Q-9 and SDM-Q-Doc were administered to patients and physicians, respectively. For convergent validity, physician confidence in the medical interview (PCMI) was used. After the determination of internal consistency and validity of the SDM-Q-Doc, the relations among each item of SDM-Q-Doc, SDM-Q-9, physicians’ sociodemographic attributes, and a presence or absence of nurse’s attendance during outpatient consultation were assessed by a multiple regression analysis and structural equation modeling (SEM). A factor analysis confirmed that the Japanese version of the SDM-Q-Doc displays a one-factor structure with a high internal consistency (Cronbach’s α = 0.87, ω = 0.88). The correlation between the PCMI and SDM-Q-Doc confirmed an appropriate convergent validity (r = 0.406; p < 0.001). Multiple regression analyses showed that the attendance of a nurse during consultation significantly affected one item of the SDM-Q-Doc, which in turn affected one item of the SDM-Q-9. SEM showed a good fit of model for these three items. The Japanese version of the SDM-Q-Doc’s internal consistency and validity in the outpatient medical consultations in Japan were confirmed. Further, this study suggests the role of a nurse’s attendance during a physician–patient consultation on facilitating the SDM. Further, using the Japanese version of the SDM-Q-Doc will promote communication skills training for medical professionals by checking the quality of SDM.
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影响因子：
7.2
作者：
Fukuhara, S;Bito, S;Kurokawa, K
通讯作者：
Kurokawa, K
影响因子：
5.4
作者：
Kenny, David A.;Veldhuijzen, Wemke;Campbell, Craig
通讯作者：
Campbell, Craig
影响因子：
6
作者：
Kurtz, SM;Silverman, JD
通讯作者：
Silverman, JD
影响因子：
--
作者：
Scheibler, F;Stoffel, MP;Pfaff, H
通讯作者：
Pfaff, H
影响因子：
5.4
作者：
Charles, C;Gafni, A;Whelan, T
通讯作者：
Whelan, T