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Shared-decision-making Behavior in Hospitalized Patients: Investigating the Impact of Patient's Trust in Physicians, Emotional Support, Informational Support, and Tendency to Excuse Using a Structural Equation Modeling Approach

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Version 2 2024-06-19, 06:05
Version 1 2021-10-20, 04:53
journal contribution
posted on 2024-06-19, 06:05 authored by Z Chegini, Shariful IslamShariful Islam
Patient participation in care decisions is facilitated by shared-decision-making (SDM). This study, therefore, aims to explore the impact of patient's trust in physicians, emotional support, informational support, and tendency to excuse on SDM. A cross-sectional study was conducted at the medical–surgical wards of 6 similar-sized public hospitals in Tabriz, northwest Iran, using a self-administered questionnaire, with 321 cases collected from October to December 2019. The structural equation modeling (SEM) analysis was used to test the hypothetical model. Using the SEM approach, the findings fully confirmed the study hypothesis, and patients’ trust in physician (Beta = −0.44), emotional support (Beta = 0.29), tendency to excuse (Beta = 0.18), and informational support (Beta = 0.58) predicted the inpatient's SDM behavior ( R2 = 0.65, goodness-of-fit index = 0.902). To improve patient outcomes, physicians might advise incorporating techniques such as improving patient trust, informational and emotional supports to improve SDM. Improving the psychosocial skills of physicians also seems to be essential to help patients express their concerns.

History

Journal

Journal of Patient Experience

Volume

8

Article number

ARTN 23743735211049661

Pagination

1 - 7

Location

United States

Open access

  • Yes

ISSN

2374-3735

eISSN

2374-3743

Language

English

Publication classification

C1 Refereed article in a scholarly journal

Publisher

SAGE PUBLICATIONS INC