Shared decision-making in Malaysia: Legislation, patient involvement, implementation and the impact of COVID-19

Lee, Yew Kong; Ng, Chirk Jenn; Lee, Ping Yein; Tong, Wen Ting; Sa'at, Hamizah

doi:10.1016/j.zefq.2022.04.020

Cited by 5 publications

(2 citation statements)

References 12 publications

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“…Some studies have shown that although COVID-19 has hindered progress in SDM research, the choice of vaccination has increased public awareness of personal decision-making autonomy and the need to discuss the pros and cons with physicians before making medical decisions, which is a positive development. [96] Therefore, the government should develop supporting policies to clarify physicians' responsibilities, improve hospitals' codes of conduct, and increase patients' awareness of their rights. Additionally, our study verified that individual differences were correlated with participation behavior.…”

Section: Discussionmentioning

confidence: 99%

Best-Worst Scaling Survey of Inpatients’ Preferences in Medical Decision-Making Participation in China

et al. 2023

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This study assesses inpatients’ preferences for participating in medical decision-making and determines the factors’ rankings in order of importance and whether they vary for respondents with different characteristics. Case 1 best-worst scaling (BWS) was used for the study design. Thirteen attributes influencing inpatient medical decision-making participation were identified based on a literature review and interview results. A balanced incomplete block design was used to form choice sets for the BWS questionnaire for a cross-sectional study examining inpatients’ preferences for participating in medical decision-making. Based on results from 814 inpatient participants, the three most important factors influencing inpatients’ medical decision-making participation were inpatients’ trust in physicians, physicians’ professional expertise, and physicians’ attitudes. The mixed logit model results reflect the significant heterogeneity in respondents’ preferences for shared decision-making. To facilitate resource allocation, improve the physician-patient relationship, and encourage patient decision-making participation more actively and effectively, decision-makers should emphasize patients’ trust, enhance physicians’ ability to diagnose and treat diseases, and improve their attitudes toward providing care and communication from the perspectives of patients, physicians, and the social environment. Further research is needed on the heterogeneity of patients’ preferences for participating in medical decision-making and how to improve patient participation.

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Section: Discussionmentioning

confidence: 99%

Best-Worst Scaling Survey of Inpatients’ Preferences in Medical Decision-Making Participation in China

et al. 2023

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“…In some countries, SDM is clearly mentioned in prominent health policy documents as a proposed direction for health care delivery. Some countries have seen legal developments that overlap with a discussion about the nature of informed consent [8][9]. In roughly thirty years, the idea of involving people in decisions has become widely…”

Section: Discussionmentioning

confidence: 99%

Editorial: 20 years after the start of international Shared Decision-Making activities: Is it time to celebrate? Probably… 

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Härter

McCaffery

et al. 2022

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheit

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Shared decision-making for supporting women’s decisions about breast cancer screening

Riganti,

Ruiz Yanzi,

Escobar Liquitay

et al. 2024

Cochrane Database of Systematic Reviews

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Shared decision-making in Malaysia: Legislation, patient involvement, implementation and the impact of COVID-19

Cited by 5 publications

References 12 publications

Best-Worst Scaling Survey of Inpatients’ Preferences in Medical Decision-Making Participation in China

Best-Worst Scaling Survey of Inpatients’ Preferences in Medical Decision-Making Participation in China

Editorial: 20 years after the start of international Shared Decision-Making activities: Is it time to celebrate? Probably…

Shared decision-making for supporting women’s decisions about breast cancer screening

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