ArticleMusculoskeletal care2019
Experienced barriers in shared decision-making behaviour of orthopaedic surgery residents compared with orthopaedic surgeons.
Article in Musculoskeletal care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 12 citations in OpenAlex.
- Decision-Making Process of Healthcare Providers Regarding Catheterization Method: A Nationwide Survey Study.Neurourology and urodynamics · 2026Article
- Shared decision-making and patient decision aids in knee osteoarthritis: a scoping review.Knee surgery & related research · 2026Review
- Can We Enhance Shared Decision-making for Periacetabular Osteotomy Surgery? A Qualitative Study of Patient Experiences.Clinical orthopaedics and related research · 2025Article
- Barriers and Stimulus in Shared Decision Making Among Aesthetic Dermatologists in China: Findings from a Cross-Sectional Study.Clinical, cosmetic and investigational dermatology · 2024Article
- Implementation of a Decision Aid for Hip and Knee Osteoarthritis in Orthopedics: A Mixed-Methods Process Evaluation.Medical decision making : an international journal of the Society for Medical Decision Making · 2024Article
- Treatment decision-making process after an anterior cruciate ligament injury: patients', orthopaedic surgeons' and physiotherapists' perspectives.BMC musculoskeletal disorders · 2022Article
- Why do medical residents prefer paternalistic decision making? An interview study.BMC medical education · 2022Article
- Experienced barriers in shared decision-making behaviour of orthopaedic surgery residents compared with orthopaedic surgeons.Musculoskeletal care · 2019Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIn shared decision-making (SDM), physicians encourage the patient to participate in the care process. The theory of planned behaviour describes that behaviour is dependent on intention. In its turn, intention is explained by attitude, subjective norm and perceived behavioural control. In orthopaedics, little is known about current SDM behaviour and how to promote it.The aim of the present study was to gain insight into the SDM behaviour of orthopaedic residents and supervisors by measuring levels of intention, attitudes, subjective norms and perceived behavioural control. Furthermore, we aimed to determine the predictors of intention for SDM.
methodsA questionnaire survey study was conducted among orthopaedic surgeons and residents working in the care of hip and knee osteoarthritis, to determine their intentions, attitudes, subjective norms and perceived behavioural control regarding SDM.
resultsOf the 385 physicians approached, 71 residents and 64 orthopaedic surgeons participated. Residents and the supervisors alike had positive intentions regarding SDM. Intention for SDM behaviour was explained by attitude, subjective norm and perceived behavioural control, with perceived behavioural control having the strongest association. In residents, the intention to engage in SDM was more hampered by a lower level of perceived behavioural control than in surgeons.
conclusionsPhysicians are willing to perform SDM and consider SDM as favourable in the orthopaedic clinic. The implementation of SDM is mainly hampered by experienced barriers that they cannot control. These findings underline the importance of incorporating SDM in the curriculum of postgraduates. Possibilities for efficient SDM implementation should be explored, to overcome perceived barriers.
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