Evidence map›Paper›PMID 24066792›Full record

ArticleBMC research notes2013

The perspectives of Iranian physicians and patients towards patient decision aids: a qualitative study.

Hamideh Rashidian, Saharnaz Nedjat, Reza Majdzadeh, Jaleh Gholami, Leila Haghjou, Bahar Sadeghi Abdollahi, Fereydoun Davatchi, Arash Rashidian

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Article in BMC research notes, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hamideh RashidianDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. nejatsan@tums.ac.ir.
Saharnaz Nedjat
Reza Majdzadeh
Jaleh Gholami
Leila Haghjou
Bahar Sadeghi Abdollahi
Fereydoun Davatchi
Arash Rashidian

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient preference is one of the main components of clinical decision making, therefore leading to the development of patient decision aids. The goal of this study was to describe physicians' and patients' viewpoints on the barriers and limitations of using patient decision aids in Iran, their proposed solutions, and, the benefits of using these tools.

methodsThis qualitative study was conducted in 2011 in Iran by holding in-depth interviews with 14 physicians and 8 arthritis patient. Interviewees were selected through purposeful and maximum variation sampling. As an example, a patient decision aid on the treatment of knee arthritis was developed upon literature reviews and gathering expert opinion, and was presented at the time of interview. Thematic analysis was conducted to analyze the data by using the OpenCode software.

resultsThe results were summarized into three categories and ten codes. The extracted categories were the perceived benefits of using the tools, as well as the patient-related and physician-related barriers in using decision aids. The following barriers in using patient decision aids were identified in this study: lack of patients and physicians' trainings in shared decision making, lack of specialist per capita, low treatment tariffs and lack of an exact evaluation system for patient participation in decision making.

conclusionsNo doubt these barriers demand the health authorities' special attention. Hence, despite patients and physicians' inclination toward using patient decision aids, these problems have hindered the practical usage of these tools in Iran--as a developing country.

Indexed as

Decision Support TechniquesQualitative ResearchAttitude of Health PersonnelCultureDecision MakingEthics, MedicalFemaleFollow-Up StudiesGuideline AdherenceHumansIranMalePatient ParticipationPatient RightsPhysician-Patient RelationsPhysicians

Identifiers

PMID24066792
PMCPMC3849268

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.