TY - JOUR
T1 - Healthcare professionals’ views on shared decision-making in plastic surgery in the Netherlands
AU - Langbroek, Ginger Beau
AU - Ronde, Elsa M.
AU - Lapid, Oren
AU - Horbach, Sophie E. R.
AU - van der Horst, Chantal M. A. M.
AU - Breugem, Corstiaan C.
AU - Ubbink, Dirk T.
N1 - Funding Information: We would like to thank Dr. Susan van Dieren for her support regarding the statistical analyses. Publisher Copyright: © 2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons
PY - 2023/10/1
Y1 - 2023/10/1
N2 - Background: In shared decision-making (SDM), patients and healthcare professionals (HCPs) reach a joint clinical decision based on the best available evidence and the patient's preferences. SDM seems particularly valuable in plastic surgery, as often multiple treatment options are available. This cross-sectional online survey study aimed to assess HCPs’ views and knowledge about SDM, identify facilitators and barriers of SDM, and determine specific requirements for SDM within plastic surgery. Methods: Participants were HCPs working in plastic surgery in the Netherlands. Participant characteristics, SDM knowledge, perceived facilitators and barriers, and requirements were assessed using a custom-made online survey. Two researchers thematically analyzed qualitative data. Results: We received 124 responses (with a response rate of 23%). Most respondents were attending plastic surgeons (79%), and 60% had more than 10 years of experience. Almost all respondents considered SDM important (91%), and most (78%) indicated that they applied SDM during consultations. However, only 15% of the HCPs showed a comprehensive understanding of the principle of SDM. Sufficient time, available sources of information (on treatment options and SDM), and decision support tools were identified as important requirements for SDM. Conclusions: Despite the positive attitudes toward SDM, there is a clear need for SDM training of HCPs, uniform sources of information and guidelines, and improved awareness and availability of decision support tools. National plastic surgery societies can play a crucial role in improving SDM-related knowledge, the availability of information and decision support tools, and the implementation of SDM in the field of plastic surgery.
AB - Background: In shared decision-making (SDM), patients and healthcare professionals (HCPs) reach a joint clinical decision based on the best available evidence and the patient's preferences. SDM seems particularly valuable in plastic surgery, as often multiple treatment options are available. This cross-sectional online survey study aimed to assess HCPs’ views and knowledge about SDM, identify facilitators and barriers of SDM, and determine specific requirements for SDM within plastic surgery. Methods: Participants were HCPs working in plastic surgery in the Netherlands. Participant characteristics, SDM knowledge, perceived facilitators and barriers, and requirements were assessed using a custom-made online survey. Two researchers thematically analyzed qualitative data. Results: We received 124 responses (with a response rate of 23%). Most respondents were attending plastic surgeons (79%), and 60% had more than 10 years of experience. Almost all respondents considered SDM important (91%), and most (78%) indicated that they applied SDM during consultations. However, only 15% of the HCPs showed a comprehensive understanding of the principle of SDM. Sufficient time, available sources of information (on treatment options and SDM), and decision support tools were identified as important requirements for SDM. Conclusions: Despite the positive attitudes toward SDM, there is a clear need for SDM training of HCPs, uniform sources of information and guidelines, and improved awareness and availability of decision support tools. National plastic surgery societies can play a crucial role in improving SDM-related knowledge, the availability of information and decision support tools, and the implementation of SDM in the field of plastic surgery.
KW - Barriers
KW - Facilitators
KW - Healthcare professional survey
KW - Plastic surgery
KW - Requirements
KW - Shared decision-making
UR - http://www.scopus.com/inward/record.url?scp=85168541467&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.bjps.2023.07.041
DO - https://doi.org/10.1016/j.bjps.2023.07.041
M3 - Article
C2 - 37597483
SN - 1748-6815
VL - 85
SP - 463
EP - 472
JO - Journal of Plastic, Reconstructive and Aesthetic Surgery
JF - Journal of Plastic, Reconstructive and Aesthetic Surgery
ER -