Decisional Conflict in Patients and Their Physicians: A Dyadic Approach to Shared Decision Making
Decisional Conflict in Patients and Their Physicians: A Dyadic Approach to Shared Decision Making
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DOI：
10.1177/0272989x08327067
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发表时间：
2009-01-01
影响因子：
3.6
通讯作者：
Legare, France
中科院分区：
文献类型：
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作者：
LeBlanc, Annie;Kenny, David A.;Legare, France
背景决策冲突被定义为当在相互竞争的选项中做出选择时，涉及风险、后悔或对个人生活价值观的挑战时，个人对采取哪种行动的不确定性。它受到知识不足、价值观不明确、支持不足以及认为决策无效的影响。直到最近，它一直在个人层面上进行研究，忽视了病人和医生之间的人际系统。Objective.探讨感觉不知情，不明确的价值观，不充分的支持，并认为一个无效的决定已经作出了自己的结果（演员效应）和对其他人的结果（合作伙伴效应）的影响。方法.在临床遭遇后，使用决策冲突量表测量了医生和患者的可修改缺陷和个人不确定性。结构方程模型被用来测量的演员，合作伙伴相互依赖模型的参数。结果共有112对医生和患者被纳入分析。对于患者和医生，2个演员效应，不清楚的值（P
Background. Decisional conflict is defined as personal uncertainty about which course of action to take when choice among competing options involves risk, regret, or challenge to personal life values. It is influenced by inadequate knowledge, unclear values, inadequate support, and the perception that an ineffective decision has been made. Until recently, it has been studied at the individual level, which ignores the interpersonal system between patients and physicians. Objective. To explore the effect of feeling uninformed, unclear values, inadequate support, and the perception that an ineffective decision has been made on one own's outcome (actor effect) and on the other person's outcome (partner effect). Methods. After a clinical encounter, modifiable deficits and personal uncertainty were measured in physicians and patients using the Decisional Conflict Scale. Structural equation modeling was used to measure the parameters of the Actor-Partner Interdependence Model. Results. A total of 112 dyads of physicians and patients were included in the analysis. For both patients and physicians, 2 actor effects, unclear values (P