Abstract
Background: Patient participation in healthcare leads to increased satisfaction and trust, reduction of anxiety, and a better understanding of patients’ needs. The components of shared decision-making (SDM) are well documented in the literature. The purpose of this study was to design an SDM model for diabetic patients. Materials and Methods: This qualitative content analysis study was performed in three steps. First, a descriptive comparative study was conducted using the widely-used George Brady method. Next, the perceptions of participants (both physicians and patients) were collected via interview and in focus group discussions (FGDs). Content analysis was used to categorize the comments made by participants. In the final step, the model of SDM for diabetic patients was designed based on expert panel discussions. Results: Twelve components were extracted from the comparative study. Two themes and six sub-themes were extracted from data resulting from physicians’ interviews, and two themes and ten sub-themes were extracted from data resulting from the FGDs involving patients. The model of SDM for diabetic patients was designed in light of three concepts; practitioners’ behavior, participatory decision-making process, and patients’ autonomy. Conclusion: This model was valuable because it recognizes the process of SDM in the context of Iran. The model’s main purpose was to help choose optimum strategies for the care of diabetic patients within the health sector.
Highlights
Shared decision-making (SDM) is a process in which patients and clinicians make decisions and reach consensus through cooperative communications
shared decision-making (SDM) Model for Diabetic Patients often reported that the involvement of other providers of healthcare services, other than doctors, is important in decision-making [5, 6]
1.Comparative Study Results The results of a comparative study based on the Brady model are summarized in four stages: descriptions, interpretation, neighborhoods, and comparison
Summary
Shared decision-making (SDM) is a process in which patients and clinicians make decisions and reach consensus through cooperative communications. SDM Model for Diabetic Patients often reported that the involvement of other providers of healthcare services, other than doctors, is important in decision-making [5, 6]. Serrano et al stated that collaborative decision-making creates an empathy conversation between patients and physicians that combines the best available evidence with values, preferences, and fields [9]. Further research is needed to design models to describe patients' participation in decisionmaking. The purpose of this study was to design a model for shared decision making in Iran. The purpose of this study was to design an SDM model for diabetic patients. The model of SDM for diabetic patients was designed based on expert panel discussions. The model of SDM for diabetic patients was designed in light of three concepts; practitioners’ behavior, participatory decisionmaking process, and patients’ autonomy.
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