Patients' perspectives on shared decision making in secondary mental healthcare in Taiwan: A qualitative study

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Abstract

OBJECTIVE: The aim of this study is to explore patient perspectives on shared decision making in secondary mental healthcare in Taiwan.

METHODS: Qualitative semi-structured interviews were used to explore patient perspectives on shared decision making in secondary mental healthcare in Taiwan. Individual semi-structured interviews were conducted from July to August 2017 with a purposive sample of twenty patients using halfway houses. Data were analysed using thematic analysis.

RESULTS: Analysis of the interviews identified two themes: barriers to shared decision making; facilitators of shared decision making. Patients perceived that they were not involved in decision making due to: the professional status of health professionals; negative perception of making decisions; and limited time resources. However, patients reported a desire to be involved and felt sufficient information exchange would be a necessary step towards collaboration/sharing decisions about treatment with clinicians.

CONCLUSION: The findings provided an understanding of significant barriers to and facilitators of implementing shared decision making to aid further professional training and the development of national policies.

PRACTICE IMPLICATIONS: The findings could be the basis for developing effective strategies to overcome barriers to shared decision making and improve the process quality of delivering shared decision making.

Bibliographical metadata

Original languageEnglish
Number of pages6
JournalPatient education and counseling
Issue number12
Early online date26 May 2020
DOIs
Publication statusE-pub ahead of print - 26 May 2020