ArticleFrontiers in medicine2025
Effects of communication, trust, and respect on shared decision-making: insights from healthcare providers in Chinese public hospitals.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Examining the relationship between healthcare practitioners' communication and patient adherence to treatment: a systematic review.BMC health services research · 2026Pooled it
- The knowledge-perception nexus: socio-linguistic disparities in surgical informed consent among patients at Ethiopian tertiary hospitals.BMC surgery · 2026Article
- Communication Skills in Medical Education and Practice: A Bibliometric Analysis of the Current Research Landscape.Cureus · 2026Review
- The quality and reliability of short videos about myocardial infarction on TikTok: a cross-sectional study.Frontiers in public health · 2026Article
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Authors and funding
6 authors.
Funding
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Abstract
Background: Shared decision making (SDM) could significantly enhance health knowledge, treatment adherence, and doctor-patient relationship, but multifaceted barriers have influenced the implementation of SDM worldwide. There are now few studies on SDM process from the perspective of healthcare workers who often act as the initiators of SDM. Focusing on healthcare providers, this study aimed to explore the mechanism by which provider-patient communication, trust, and respect influenced SDM within the context of China's three-tier public hospital system. Methods: A stratified sampling was employed to survey doctors and nurses from public hospitals in Shanghai, China. The questionnaire included respect, patient-provider communication, trust, SDM, and socio-demographic information. Structural equation modeling was used to examine the study hypotheses, after controlling demographics covariates. Results: There were 778 participants included in this study. The constructs in our study exhibited good reliability and validity, and the SEM demonstrated good fit (CFI = 0.978, TLI = 0.974, RMSEA = 0. 039, SRMR = 0.036). Provider-patient communication and trust were significant factors influencing SDM ( Conclusion: Provider-patient communication and trust were important factors influencing SDM according to healthcare providers, and respectful behaviors was key to improving communication and SDM in the secondary hospital. These suggested evidence for the development of strategies to promote SDM in the future.
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