Analysis of latent class and influencing factors of doctors′ behaviors in doctor-patient shared decision-making
10.3760/cma.j.cn111325-20231129-00356
- VernacularTitle:医患共同决策过程中医生行为潜在类别及其影响因素研究
- Author:
Ke SUN
1
;
Yan MA
;
Jinjuan HAO
;
Huazhao XU
;
Xiangyu LUO
Author Information
1. 北京医院院办公室 国家老年医学中心 中国医学科学院老年医学研究院，北京 100730
- Keywords:
Physicians;
Shared decision-making;
Latent profile analysis;
Influencing factors analysis;
Cross-sectional study
- From:
Chinese Journal of Hospital Administration
2024;40(4):269-275
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the latent classes of doctors′ behaviors in the process of shared decision-making between doctors and patients, and analyze the influencing factors for the latent classes.Methods:From August to September 2023, doctors from 4 tertiary hospitals in Dongcheng district, Beijing were selected using convenience sampling method. The general information questionnaire, shared decision making questionnaire-physician version(SDM-Q-Doc), doctor patient relationship questionnaire, the Jefferson scale of empathy health professionals, physician trust in the patient scale were administered to the participants. Latent profile analysis was performed based on the items of SDM-Q-Doc. The ordinal logistic regression analysis was conducted to explore the influencing factors of the latent classes of shared decision making.Results:A total of 480 doctors were included in the study. The results of latent profile analysis showed that doctors could be classified into 3 subgroups by shared decision making, namely shared decision missing group(17.3%, 83/480), collective balance deficiency group(52.5%, 252/480), and shared decision making group(30.2%, 145/480). The results of ordinal logistic regression analysis showed that career development opportunity( OR=0.509, 95% CI: 0.269-0.965, P=0.038), working years( OR=1.103, 95% CI: 1.016-1.196, P=0.019), empathic ability( OR=1.096, 95% CI: 1.079-1.113, P<0.001) and doctor-patient trust( OR=1.053, 95% CI: 1.027-1.080, P<0.001) were independent influencing factors of doctors′ shared decision making. Conclusions:The shared decision making of doctors showed significant population heterogeneity. Longer working years, sufficient career opportunities, high empathy ability and strong doctor-patient trust could enhance shared decision making behavior of the doctors. Intervention can be planned based on above factors from the perspectives of hospital managers and doctors in the future.
