Training physicians in shared decision-making-who can be reached and what is achieved?

Bieber, C; Nicolai, J; Hartmann, M; Blumenstiel, K; Ringel, N; Schneider, A; Härter, M; Eich, W; Loh, A

doi:10.1016/j.pec.2009.03.019

2009

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Title:: Training physicians in shared decision-making-who can be reached and what is achieved?
Document type:: Journal Article; Research Support, Non-U.S. Gov't; Article
Author(s):: Bieber, C; Nicolai, J; Hartmann, M; Blumenstiel, K; Ringel, N; Schneider, A; Härter, M; Eich, W; Loh, A
Abstract:: OBJECTIVE: To report on experiences with a general shared decision-making (SDM) physician training program offered to physicians throughout Germany. METHODS: This study enrolled 150 physicians in an 8-h SDM training program. Physicians were assessed with standardized instruments before and after training. Main variables of interest were physician professional attributes, personality characteristics, attitudes, measures of training success (quality rating, knowledge, competency ratings), and variables associated with training success. RESULTS: The SDM training obtained positive quality ratings, led to an amelioration in an objective SDM knowledge test (p<.001), and highly improved physicians' confidence in their SDM competencies (p<0.001). It attracted experienced, middle-aged (45 years), male and female (46%) physicians, mostly office-based (2/3) general practitioners and internists (2/3). Most physicians (94%) reported positive attitudes towards SDM. They were securely attached (63%) with predominant social career choice motives (46%). Physicians with personality characteristics clashing with the SDM concept benefited mostly from the training. CONCLUSION: A voluntary SDM training program is attractive to practicing physicians and effective in increasing SDM-related confidence and knowledge. PRACTICE IMPLICATIONS: Even physicians who are highly motivated to use SDM can improve their skills and benefit from SDM training. The dissemination of SDM training programs should be encouraged.
Journal title abbreviation:: Patient Educ Couns
Year:: 2009
Journal volume:: 77
Journal issue:: 1
Pages contribution:: 48-54
Language:: eng
Fulltext / DOI:: doi:10.1016/j.pec.2009.03.019
Pubmed ID:: http://view.ncbi.nlm.nih.gov/pubmed/19403258
Print-ISSN:: 0738-3991
TUM Institution:: Lehrstuhl für Allgemeinmedizin (Prof. Schneider) (keine SAP-Zuordnung!)
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mediaTUM Gesamtbestand Hochschulbibliographie 2009 Fakultäten Medizin Institut für Allgemeinmedizin (keine SAP-Zuordnung!)

mediaTUM Gesamtbestand Einrichtungen Schools TUM School of Medicine and Health Departments Clinical Medicine Institut für Allgemeinmedizin und Versorgungsforschung (Prof. Schneider)Lehrstuhl für Allgemeinmedizin (Prof. Schneider)2009