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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

Chegini, Z and Islam, Shariful 2021, 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, Journal of Patient Experience, vol. 8, pp. 1-7, doi: 10.1177/23743735211049661.

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Title 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
Author(s) Chegini, Z
Islam, SharifulORCID iD for Islam, Shariful orcid.org/0000-0001-7926-9368
Journal name Journal of Patient Experience
Volume number 8
Article ID 23743735211049661
Start page 1
End page 7
Total pages 7
Publisher Sage
Place of publication London, Eng.
Publication date 2021
ISSN 2374-3735
2374-3743
Keyword(s) emotional support
ENCOUNTER
Health Care Sciences & Services
informational support
Life Sciences & Biomedicine
patient's trust in physicians
Science & Technology
shared-decision-making
structural equation modeling
tendency to excuse
patient’s trust in physicians
Summary 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.
Language eng
DOI 10.1177/23743735211049661
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30157252

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.