Table 2.
Average response values for each survey question.
Survey Questions | Mean (CI 95%) | Argentina | Spain | p-Value | |
---|---|---|---|---|---|
1 | I am familiar with the concept and rationale of Shared Decision Making (SDM) | 4.43 (4.36–4.50) | 4.51 (4.42–4.60) | 4.33 (4.22–4.45) | p = 0.027 |
2 | The SDM is a necessary survey to provide quality assistance. | 4.48 (4.42–4.55) | 4.45 (4.36–4.54) | 4.51 (4.42–4.61) | p = 0.289 |
3 | The importance of SDM increases when there are several treatment options with similar outcomes, where the selection of one or another option depends on the patient’s preferences. | 4.44 (4.37–4.50) | 4.43 (4.34–4.52) | 4.44 (4.35–4.54) | p = 0.741 |
4 | All physicians should ask their patients exactly how they would like to participate in decision-making. | 4.29 (4.22–4.36) | 4.32 (4.22–4.41) | 4.26 (4.16–4.36) | p = 0.429 |
5 | SDM increases patient satisfaction, improves cost-effectiveness and reduces malpractice claims. | 4.35 (4.28–4.41) | 4.34 (4.25–4.27) | 4.36 (4.23–4.44) | p = 0.708 |
6 | SDM is a basic element in the physician’s relationship with breast cancer (BC) patients. | 4.58 (4.51–4.64) | 4.79 (4.72–4.85) | 4.33 (4.23–4.44) | p = 0.001 |
7 | All doctors should inform their patients about the different treatment options available for their health problem. | 4.61 (4.55–4.67) | 4.57 (4.48–4.67) | 4.66 (4.58–4.73) | p = 0.211 |
8 | All doctors should explain all treatment options to their patients, including the possibility of not providing any treatment at all. | 4.62 (4.56–4.69) | 4.79 (4.71–4.84) | 4.44 (4.32–4.55) | p = 0.001 |
9 | All doctors should explain to their patients the benefits, risks and side effects of possible treatments. | 4.72 (4.67–4.78) | 4.77 (4.71–4.83) | 4.67 (4.58–4.75) | p = 0.036 |
10 | All doctors should help their patients understand all the information provided to them. | 4.52 (4.46–4.59) | 4.35 (4.25–4.44) | 4.73 (4.66–4.80) | p = 0.001 |
11 | All doctors should ask their patients which treatment option they prefer. | 4.32 (4.25–4.38) | 4.19 (4.11–4.27) | 4.46 (4.37–4.55) | p = 0.001 |
12 | Most patients feel that the doctor is the best person to decide on the best treatment option. | 4.38 (4.31–4.44) | 4.57 (4.49–4.65) | 4.15 (4.07–4.24) | p = 0.001 |
13 | All doctors should give their patients enough time to assess the different treatment options. | 4.38 (4.32–4.45) | 4.25 (4.14–4.36) | 4.54 (4.46–4.62) | p = 0.001 |
14 | All doctors should choose the treatment option together with their patients. | 4.29 (4.21–4.37) | 4.35 (4.24–4.45) | 4.22 (4.11–4.34) | p = 0.135 |
15 | All doctors should agree with their patients to monitor their process. | 3.80 (3.71–3.89) | 3.64 (3.53–3.80) | 3.98 (3.84–4.11) | p = 0.001 |
16 | My Unit has experience in the use of SDM in breast cancer. | 3.80 (3.71–3.88) | 3.65 (3.54–3.76) | 3.97 (3.85–4.09) | p = 0.001 |
17 | My Unit has a specific consultation to explain treatment options and facilitate SDM. | 3.34 (3.24–3.44) | 3.41 (3.29–3.53) | 3.26 (3.10–3.42) | p = 0.179 |
18 | My Unit has the necessary time to practice the practice of MDS in the care of the BC | 3.45 (3.35–3.55) | 3.63 (3.50–3.76) | 3.24 (3.09–3.40) | p = 0.001 |
19 | My Unit has the necessary materials to practice the SDM in the BC | 3.46 (3.37–3.55) | 3.61 (3.49–3.72) | 3.29 (3.15–3.43) | p = 0.001 |
20 | My hospital should promote more patient communication and the BC | 3.96 (3.88–4.04) | 3.98 (3.87–4.08) | 3.93 (3.82–4.05) | p = 0.799 |
21 | In general, there should be more training on patient communication and BC | 4.33 (4.27–4.40) | 4.41 (4.33–4.48) | 4.25 (4.15–4.35) | p = 0.023 |
22 | SDM can be useful for private health care, but it has no application in public health care, the patient cannot decide on the most efficient treatment option. | 2.10 (2.00–2.20) | 2.49 (2.34–2.64) | 1.65 (1.53–1.76) | p = 0.001 |
23 | In the future, there will be an increasing application of SDM in BC care. | 4.33 (4.27–4.40) | 4.34 (4.25–4.42) | 4.33 (4.23–4.43) | p = 0.910 |
Abbreviations: CI (confidence interval).