Robert E. McKeown|Belinda M. Reininger|Maurice Martin|Richard Hoppmann
Shared Decision Making
University of South Carolina|University of South Carolina|University of South Carolina|University of South Carolina
patients physicians views roles decision making implications patient care medical education study designed determine perspectives residents patients amount control health care decisionsdata collected selfadministered questionnaire 45 firstyear residents parallel structured interview 92 patients three resident clinics information seeking decision making dm scales autonomy preference index supplemented five clinical scenarios focused decisions concerning hypertension depression cholecystectomy hysterectomy prostate cancer analysis variance anova repeatedmeasures anova used test significant differences scorespatients residents mean scores practically equivalent indicating strong desire information sharing dm patients indicated desire slightly less equal control decisions residents thought patients equal role given specific clinical scenarios picture varied patients wanted equal roles hypertension depression prostate cancer scenarios residents wanted control decisions conversely patients wanted greater control hysterectomy cholecystectomy scenarios residents wanted less equal role decisions patients thought consultants surgeons desired role physicians residents assumed consultants wanted controlpatients disadvantaged population indicated strong desire information participation making decisions care understanding similarities discrepancies patients firstyear residents perspectives shared decision making consequences patientphysician relationship medical education