ArticleBMJ open2026
Perceptions and experiences of patients with stable coronary heart disease participating in shared decision-making: a qualitative study in China.
Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesTo explore, from the perspective of patients with stable coronary artery disease (SCAD), their perspectives and experiences of shared decision-making (SDM) participation.
designA descriptive qualitative research design was adopted in this study. The reflexive thematic analysis method was used to generate themes.
settingThe study was conducted at a grade III level A hospital in Hangzhou, Zhejiang Province, China. The main interview locations for this study were quiet wards, meeting rooms and the respondents' residences.
participantsBetween January and April 2025, 15 patients with SCAD who met the inclusion and exclusion criteria were recruited and underwent semistructured interviews.
resultsThis study developed three themes from the interviews: Theme 1: Specific content of participation in SDM, Theme 2: Family participation with Chinese characteristics, Theme 3: The complex game between ethics and efficiency.
conclusionsHealthcare providers can implement culturally sensitive, ethically informed sustainable development by guiding decision-making through gradual progression, valuing family hierarchy and advocating for better systemic support.
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