THE INFLUENCE OF SHARED DECISION MAKING ON THE SATISFACTION OF BOTH PATIENTS AND DOCTORS
Summary master thesis Lotte Jansen (4370309) The influence of shared decision making on the satisfaction of both patients and doctors This research investigated the way in which shared decision making, with the use of option grids, influences the satisfaction of both patients and doctors. The research is conducted at the urology department of the Canisius-Wilhelmina hospital in Nijmegen. In October 2017, the urology department started with the option grid for patients with prostate cancer whose illness can be cured. Up to now, a lot of research focused on the effects of shared decision making on patient-related outcomes like health benefits, increased patients’ knowledge and higher patient satisfaction. But little research focused on the effects of shared decision making on doctor-related outcomes like doctor satisfaction. In contrast to the relationship between shared decision making and patient satisfaction, the exact relationship between shared decision making and doctor satisfaction is unclear. In order to understand the exact nature of the relationship between shared decision making and doctor satisfaction, this explorative research has been conducted. The research question of this research is: “In what way does shared decision making, with the use of option grids, influence the satisfaction of both patients and doctors?” By doing qualitative research, the needed data could be obtained. Semi-structured interviews with patients, a nursing specialist and an urologist were conducted and a short questionnaire for the nursing specialist and the urologist was used to formulate an answer to this research question. The results of this research showed that, as expected based on the existing literature, shared decision making, with the use of option grids, positively influences patient satisfaction. In contrast to the expectations, shared decision making, with the use of option grids, has only a positive influence on the satisfaction of doctors. The idea from the current literature that patient satisfaction directly leads to doctor satisfaction has been confirmed by this research. Following the “Job Demands-Resources” reasoning, shared decision making does not lead to the expected high workload and less work control and autonomy. In that way, shared decision making does not negatively influence doctor satisfaction. Instead, because of shared decision making and the changed work design, the degree of work control and autonomy is quite high, there is a high degree of interaction between doctor and patient, the workload is low, the content of work is good and work is pleasant. There are thus many job resources and few job demands and therefore shared decision making only positively influences doctor satisfaction.
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