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Clinicians' Involvement of Patients in Decision Making A Video Based Comparison of Their Behavior in Public vs Private Practice

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dc.contributor.author Mongilardi, Nicole
dc.contributor.author Montori, Víctor
dc.contributor.author Riveros, Alejandro
dc.contributor.author Bernabé Ortiz, Antonio
dc.contributor.author Loza, Javier
dc.contributor.author Málaga Rodríguez, Germán Javier
dc.date.accessioned 2022-01-04T20:31:48Z
dc.date.available 2022-01-04T20:31:48Z
dc.date.issued 2013
dc.identifier.uri https://hdl.handle.net/20.500.12866/10677
dc.description.abstract Background: Little is known about the extent to which Peruvian physicians seek to involve patients in shared decision making, or about the variation in these efforts across different settings. Objective: To measure the extent to which Peruvian clinicians involve their patients in decision making and to explore the differences between clinicians’ behavior in private vs. public practice. Design: Videographic analysis. Participants and Setting: Seven academic physicians who provided care to patients in a public and a private setting participate in this study. All the encounters in both settings were filmed on one random day of February 2012. Approach: Two raters, working independently and in duplicate used the 12-item OPTION scale to quantify the extent of physician effort to involve patients in shared decision making (with 0 indicating no effort and 100 maximum possible effort) in 58 video recordings of usual clinical encounters in private and public practice. Results: The mean OPTION score was 14.3 (SD 7.0). Although the OPTION score in the private setting (mean 16.5, SD 7.3) was higher than in the public setting (mean 12.3 SD 6.1) this difference was not statistically significant (p = .09). Conclusion: Peruvian academic physicians in this convenience sample barely sought to involve their patients in shared decision making. Additional studies are required to confirm these results which suggest that patient-centered care remains an unfulfilled promise and a source of inequity within and across the private and the public sectors in Peru. en_US
dc.language.iso eng
dc.publisher Public Library of Science
dc.relation.ispartofseries PLoS ONE
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Humans en_US
dc.subject Peru en_US
dc.subject Reproducibility of Results en_US
dc.subject Attitude of Health Personnel en_US
dc.subject Physicians en_US
dc.subject Patient Participation en_US
dc.subject Delivery of Health Care en_US
dc.subject Health Services Accessibility en_US
dc.subject Communication en_US
dc.subject Patient-Centered Care en_US
dc.subject Video Recording en_US
dc.subject Decision Making en_US
dc.subject Health Facilities en_US
dc.subject Physician-Patient Relations en_US
dc.title Clinicians' Involvement of Patients in Decision Making A Video Based Comparison of Their Behavior in Public vs Private Practice en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1371/journal.pone.0058085
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.28
dc.relation.issn 1932-6203


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