From: Patient autonomy in dentistry: demonstrating the role for shared decision making
All n = 300 | Population | P value | ||||
---|---|---|---|---|---|---|
General Medicine n = 93 | Dentistry n = 97 | Multiple sclerosis n = 109 | ||||
Decision type/medical domain | Means (SD) | |||||
General medicine | ||||||
Assume you have a sore throat, nasal congestion and cough for the last three days. Who should make the following decisions? | ||||||
1 | Whether to run an x-ray of your chest? | 3.2 (0.8) | 3.2 (0.8) | 3.2 (0.7) | 3.2 (0.8) | .900 |
2 | Whether to treat your condition with cough syrup? | 2.8 (1.0) | 3.1 (0.9) | 2.7 (1.1) | 2.7 (1.0) | .018 |
Assume that during routine examination a high blood pressure of 170/100 mmHg is measured. Who should make the following decisions? | ||||||
3 | Whether to undergo 24-h blood pressure monitoring? | 3.5 (0.9) | 3.4 (0.8) | 3.5 (0.8) | 3.5 (0.9) | .412 |
4 | Whether to lower the blood pressure by use of drugs? | 3.4 (0.8) | 3.3 (0.8) | 3.4 (0.8) | 3.5 (0.9) | .144 |
Average over decisions in general medicine | 3.2 (0.6) | 3.3 (0.7) | 3.2 (0.6) | 3.1 (.6) | .273 | |
Dentistry | ||||||
Assume you have lost 1 to 3 teeth in the visible range and meet the dentist. Who should make the following decisions? | ||||||
5 | Whether to use local anesthesia? | 2.7 (1.0) | 2.7 (1.0) | 2.9 (0.9) | 2.4 (1.0) | .002 |
6 | Whether to apply diagnostic radiology? | 3.6 (0.9) | 3.6 (1.0) | 3.7 (0.8) | 3.5 (0.8) | .101 |
7 | Whether and which treatment of your tooth loss is suitable? | 2.7 (0.9) | 2.7 (0.8) | 2.8 (0.8) | 2.7 (0.9) | .354 |
Average over decisions in dentistry | 3.0 (0.7) | 3.0 (0.7) | 3.1 (0.6) | 2.8 (0.7) | .010 | |
Multiple sclerosis | ||||||
Who should make the following decisions on your chronic disease? | ||||||
8 | Whether and which immunotherapy to use as long-term treatment? | 3.1 (0.8) | n/a | n/a | 3.1 (0.8) | n/a |
9 | Whether to Magnet Resonance Imaging is needed? | 3.5 (0.8) | n/a | n/a | 3.5 (0.8) | n/a |
10 | Whether to use steroid treatment to manage an acute relapse? | 3.2 (0.9) | n/a | n/a | 3.2 (0.9) | n/a |
Average over decisions in multiple sclerosis | 3.2 (0.7) | n/a | n/a | 3.2 (0.7) | n/a | |
Total | 3.1 (0.6) | 3.1 (0.6) | 3.2 (0.5) | 3.1 (0.6) | .302 |