Antecedents and consequences of shared decision making for patients with chronic kidney diseases: A cross-sectional survey. (December 2022)

• Record Type: Journal Article
• Authors: Kuo, Kuang-Ming; Chang, I-Chiu; Chen, Chih-Ming; Yang, Feng-Jung
• Is Part Of: International journal of medical informatics. Volume 168(2022)
• Publication Date: 2022-12
• Subjects: Doctor-patient communication -- Doctor-patient relationship -- Shared decision-making -- Patient outcomes; Medical informatics -- Periodicals; Information science -- Periodicals; Computers -- Periodicals; Medical technology -- Periodicals; Medical Informatics -- Periodicals; Technology, Medical -- Periodicals; Computers; Information science; Medical informatics; Medical technology; Electronic journals; Periodicals; Electronic journals; 610.285
• DOI: 10.1016/j.ijmedinf.2022.104898
• Languages: English
• ISSNs: 1386-5056

Abstract

Highlights: Antecedents and outcomes of shared decision-making (SDM) was examined concurrently. The effect of communication software on SDM was further investigated. The model can explain the variation of SDM and patient outcomes reasonably. Abstract: Background: Chronic kidney disease (CKD) has a strong negative impact on patients. Finding ways to improve CKD patients' conditions by shared decision-making is receiving much attention. However, little attention has been paid to influencing antecedents and effects of shared decision-making. Meanwhile, as advanced technologies bring in new communication devices, effects of different types of communications used in shared decision-making need to be addressed. Objective: This study proposes a research framework to determine the influencing antecedents of shared decision-making, and to evaluate the effects of shared decision-making on patient outcomes when they are computer-mediated and when the decision-makers communicate face-to-face. Methods: A cross-section survey was conducted and a total of 48 valid samples were obtained. The participants were CKD Stage III, IV, or V patients who had received medical treatment in a hospital in Taiwan. The collected data were subjected to an independent t- test and partial least squares analysis to validate the research framework. Results: Doctor-patient communication (DPC) and doctor-patient relationship (DPR) have no significant direct impact on patient outcomes. Nevertheless, both DPC and DPR significantly impact shared decision-making which in turn impacts patient outcomes. Moreover, patients who use computer-mediated communication were found to have significantly higher perceptions of shared decision-making than those who did not. Conclusions: The incidence and prevalence of end-stage renal disease in Taiwan are among the highest in the world. The results of this study can serve as a reference for hospitals to improve CKD patients' outcomes. Meanwhile, during the COVID-19 pandemic, this study suggested hospitals should encourage shared decision-making with computer-mediated communication to ensure that patients receive proper treatment and have the desired outcomes.