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152 Patients’ involvement and the associated factors in shared decision-making among colon cancer
  1. Wen Li Lin1,
  2. Soon-Cen Huang2,
  3. Chao-Jung Tsao3,
  4. Li-Min Wu4,
  5. Wen Tsung Huang3
  1. 1Departemt of Medical Affairs, Chi Mei Medical Center, Liouying, Taiwan, R.O.C
  2. 2Division of Obstetrics and Gynecology, Department of Internal Medicine, Taiwan, R.O.C
  3. 3Division of Hematology and Oncology, Department of Internal Medicine, Chi Mei Medical Center, Liouying, R.O.C
  4. 4School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan, R.O.C

Abstract

Introduction It has long been an important and anticipated goal for both physicians and patients to reach satisfactory and high-quality medical decisions.

Methods The objective of this study was to understand whether patients newly diagnosed with colon cancer played an active or passive role in medical decision-making. Additionally, the extent of their involvement and the main factors influencing patients‘ involvement in shared decision-making (SDM) were explored.

Results A total of 43 colon cancer patients participated in the survey. The proportions of respondents who chose active, collaborative, and passive roles in medical decision-making were 23.4%, 48.9%, and 33.2%, respectively. Among those interviewed, 68.6% collaborated in SDM involving both physicians and patients. Patients who tended to be passive in terms of SDM were so inclined mainly because of their trust in their physicians’ professionalism. Those who chose to actively participate in medical decision-making did so when they felt there was adequate time. Their personal characteristics were also factors influencing their participation.

Discussion Most respondents tended to discuss treatment options with their physicians before engaging in collaborative medical decision-making. Therefore, the incorporation of SDM into the colon cancer medical decision-making process is a highly feasible and optimistic approach.

Conclusion(s) In addition to fostering a better understanding of the medical decision-making model for colon cancer patients, the results of this study also provide an important reference for the promotion and practice of SDM between physicians and patients in clinical practice.

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