Evaluation of the Use of Shared Decision Making in Breast Cancer: International Survey

Marta Maes-Carballo, Manuel Martín-Díaz, Luciano Mignini, Khalid Saeed Khan, Rubén Trigueros and Aurora Bueno-Cavanillas
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Marta Maes-Carballo: Unidad de Patología Mamaria del Servicio de Cirugía General, Complexo Universitario Hospitalario de Ourense, 32005 Ourense, Spain
Manuel Martín-Díaz: Hospital Básico Santa Ana de Motril, 18600 Granada, Spain
Luciano Mignini: Unidad de Mastología del Grupo Oroño, 2000 Rosario, Argentina
Khalid Saeed Khan: Department of Preventive Medicine and Public Health, University of Granada, 18014 Granada, Spain
Rubén Trigueros: Department of Language and Education, University of Antonio de Nebrija, 28015 Madrid, Spain
Aurora Bueno-Cavanillas: Department of Preventive Medicine and Public Health, University of Granada, 18014 Granada, Spain

IJERPH, 2021, vol. 18, issue 4, 1-15

Abstract: Objectives: To assess shared decision-making (SDM) knowledge, attitude and application among health professionals involved in breast cancer (BC) treatment. Materials and Methods: A cross-sectional study based on an online questionnaire, sent by several professional societies to health professionals involved in BC management. There were 26 questions which combined demographic and professional data with some items measured on a Likert-type scale. Results: The participation (459/541; 84.84%) and completion (443/459; 96.51%) rates were high. Participants strongly agreed or agreed in 69.57% (16/23) of their responses. The majority stated that they knew of SDM (mean 4.43 (4.36–4.55)) and were in favour of its implementation (mean 4.58 (4.51–4.64)). They highlighted that SDM practice was not adequate due to lack of resources (3.46 (3.37–3.55)) and agreed on policies that improved its implementation (3.96 (3.88–4.04)). The main advantage of SDM for participants was patient satisfaction (38%), and the main disadvantage was the patients’ paucity of knowledge to understand their disease (24%). The main obstacle indicated was the lack of time and resources (40%). Conclusions: New policies must be designed for adequate training of professionals in integrating SDM in clinical practice, preparing them to use SDM with adequate resources and time provided.

Keywords: shared decision making; breast cancer; use of shared decision making; survey; longitudinal study (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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