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Shared decision making in senior medical students: results from a national survey.
Zeballos-Palacios, Claudia; Quispe, Renato; Mongilardi, Nicole; Diaz-Arocutipa, Carlos; Mendez-Davalos, Carlos; Lizarraga, Natalia; Paz, Aldo; Montori, Victor M; Malaga, German.
Afiliação
  • Zeballos-Palacios C; CONEVID-Universidad Peruana Cayetano Heredia, Lima, Peru (CZP, NM, RQ, VMM, GM)
  • Quispe R; Knowledge and Evaluation Research Unit at Mayo Clinic, Rochester, MN (CZP, VMM)
  • Mongilardi N; CONEVID-Universidad Peruana Cayetano Heredia, Lima, Peru (CZP, NM, RQ, VMM, GM)
  • Diaz-Arocutipa C; CRONICAS Center of Excellence in Chronic Diseases-Universidad Peruana Cayetano Heredia, Lima, Peru (RQ)
  • Mendez-Davalos C; CONEVID-Universidad Peruana Cayetano Heredia, Lima, Peru (CZP, NM, RQ, VMM, GM)
  • Lizarraga N; Universidad Nacional Mayor de San Marcos, Lima, Peru (CDA)
  • Paz A; Universidad Privada Antenor Orrego, Trujillo, Peru (CMD)
  • Montori VM; Universidad Catolica Santa Maria, Arequipa, Peru (NL)
  • Malaga G; Universidad Privada Antenor Orrego, Piura, Peru (AP)
Med Decis Making ; 35(4): 533-8, 2015 05.
Article em En | MEDLINE | ID: mdl-25732722
PURPOSE: To explore perceptions and experiences of Peruvian medical students about observed, preferred, and feasible decision-making approaches. METHODS: We surveyed senior medical students from 19 teaching hospitals in 4 major cities in Peru. The self-administered questionnaire collected demographic information, current approach, exposure to role models for and training in shared decision making, and perceptions of the pertinence and feasibility of the different decision-making approaches in general as well as in challenging scenarios. RESULTS: A total of 327 senior medical students (51% female) were included. The mean age was 25 years. Among all respondents, 2% reported receiving both theoretical and practical training in shared decision making. While 46% of students identified their current decision-making approach as clinician-as-perfect-agent, 50% of students identified their teachers with the paternalistic approach. Remarkably, 53% of students thought shared decision making should be the preferred approach and 50% considered it feasible in Peru. Among the 10 challenging scenarios, shared decision making reached a plurality (40%) in only one scenario (terminally ill patients). CONCLUSION: Despite limited exposure and training, Peruvian medical students aspire to practice shared decision making but their current attitude reflects the less participatory approaches they see role modeled by their teachers.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Relações Médico-Paciente / Estudantes de Medicina / Atitude do Pessoal de Saúde / Tomada de Decisões / Relações Interpessoais Tipo de estudo: Clinical_trials / Prognostic_studies / Qualitative_research Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Peru Idioma: En Revista: Med Decis Making Ano de publicação: 2015 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Relações Médico-Paciente / Estudantes de Medicina / Atitude do Pessoal de Saúde / Tomada de Decisões / Relações Interpessoais Tipo de estudo: Clinical_trials / Prognostic_studies / Qualitative_research Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Peru Idioma: En Revista: Med Decis Making Ano de publicação: 2015 Tipo de documento: Article País de publicação: Estados Unidos