Patient Participation in Decision-making and its Influencing Factors at the Clinical Application of New Medical Technologies
Abstract：Objective To study the patients' participation in decision-making at the clinical application of general new medical technology and non-invasive prenatal testing (NIPT) and to analyze its influencing factors.Methods A cross-sectional survey was conducted in Shanghai,Fuzhou,Quanzhou,Chengdu and Nanchong City.Pregnant women and other patients were investigated with self-designed questionnaire.Associating factors were analyzed in logistic regression.Results A total of 233 pregnant women and 554 other patients from 18 hospitals in 5 cities were surveyed;69 (41.12％) pregnant women and 310 (64.32％) patients were rated "higher" in their involvement in decision-making.The education level,medical insuance and service satisfaction were associated with pregnant women's involvement (P＜0.05);for general new medical technology,city,whether local native,the attitude to new medical technology and the service satisfaction were found to be significant factors (P＜0.05).Conclusion Many patients reports to have participated in the decision-making,but the level of involvement still needs to be improved.Multi-factors affect patients' involvement in decision-making,and factors varies among different new technologies.It is suggested to take various measures to encourage patients' participation and promote physician-patient shared decision-making at the application of new medical technology.
Keywords：new medical technologypatients' participation in decision-makinginfluencing factorsnon-invasive prenatal testing
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 15-18 )