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Shared Decision Making during the COVID-19 Pandemic

Author

Listed:
  • Anja K. Köther

    (Department of Psychology, School of Social Sciences, University of Mannheim, Mannheim, Baden-Wurttemberg, Germany)

  • Katharina U. Siebenhaar

    (Department of Psychology, School of Social Sciences, University of Mannheim, Mannheim, Baden-Wurttemberg, Germany)

  • Georg W. Alpers

    (Department of Psychology, School of Social Sciences, University of Mannheim, Mannheim, Baden-Wurttemberg, Germany)

Abstract

Objective The COVID-19 pandemic pushed some of the most well-developed health care systems to their limits. In many cases, this has challenged patient-centered care. We set out to examine individuals’ attitudes toward shared decision making (SDM) and to identify predictors of participation preference during the pandemic. Methods We conducted an online survey with a large convenience sample ( N = 1061). Our main measures of interest were participants’ generic and COVID-19–related participation preference as well as their acceptance and distress regarding a triage vignette. We also assessed anxiety, e-health literacy, and aspects of participants’ health. We conducted group comparisons and multiple linear regression analyses on participation preference as well as triage acceptance. Results In generic decision making, most participants expressed a strong need for information and a moderate participation preference. In the hypothetical case of COVID-19 infection, most preferred physician-led decisions. Generic participation preference was the strongest predictor of COVID-19–related participation preference, followed by age, education, and anxiety. Furthermore, both higher generic and COVID-19–related participation preferences predicted lower triage acceptance. Conclusion Our findings demonstrate potential health care recipients’ attitudes toward SDM during a severe health care crisis and emphasize that participation preference varies according to the context.

Suggested Citation

  • Anja K. Köther & Katharina U. Siebenhaar & Georg W. Alpers, 2021. "Shared Decision Making during the COVID-19 Pandemic," Medical Decision Making, , vol. 41(4), pages 430-438, May.
    • Handle: RePEc:sae:medema:v:41:y:2021:i:4:p:430-438
    DOI: 10.1177/0272989X211004147
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    References listed on IDEAS

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    1. Flynn, Kathryn E. & Smith, Maureen A. & Vanness, David, 2006. "A typology of preferences for participation in healthcare decision making," Social Science & Medicine, Elsevier, vol. 63(5), pages 1158-1169, September.
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    Cited by:

    1. Shan-Fu Yu & Hui-Ting Wang & Meng-Wei Chang & Tien-Tsai Cheng & Jia-Feng Chen & Chia-Li Lin & Hsing-Tse Yu, 2022. "Determining the Development Strategy and Suited Adoption Paths for the Core Competence of Shared Decision-Making Tasks through the SAA-NRM Approach," IJERPH, MDPI, vol. 19(20), pages 1-23, October.
    2. Md Altab Hossin & Lie Chen & Md Sajjad Hosain & Isaac Owusu Asante, 2022. "Does COVID-19 Fear Induce Employee Innovation Performance Deficiency? Examining the Mediating Role of Psychological Stress and Moderating Role of Organizational Career Support," IJERPH, MDPI, vol. 19(16), pages 1-22, August.

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