Shared decision making between Chinese medical staff members and patients with coronary heart disease: study protocol for a multicenter, large sample, cross-sectional,
open-label, clinical survey
Rong-chong Huang1, Shu-mei Ma2, Xian-tao Song3, Ping Yang4, Bin Liang5, Min Sun5, Jia-ying Xu1, Qi Li1, Xiao-fu Teng2, Dong-feng Zhang3, Yue Liu2, Bing Li4, Yan Yan5, Zhi Li5, Kasey R Boehmer6, Henry H Ting7, Victor M Montori8
1 Department of Cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province, China
2 Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China
3 Beijing Anzhen Hospital, Capital Medical University, Beijing, China
4 China-Japan Union Hospital of Jilin University, Changchun, Jilin Province, China
5 The Third People's Hospital of Dalian, Dalian, Liaoning Province, China
6 Knowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street SW, Rochester, MN, USA
7 Value Institute, New York-Presbyterian Hospital, The University Hospital of Columbia and Cornell, New York, NY, USA
8 Knowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street SW, Rochester, MN; Division of Endocrinology, Mayo Clinic, Rochester, MN, USA
Department of Cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province
Source of Support: None, Conflict of Interest: None
Background: Shared decision making is an emerging approach through which physicians and patients can reach health care decisions based on mutual agreement. Scientific physician-patient shared decision making can facilitate selection of optimized treatments, improvement in curative effects, postoperative prognosis, and short-term and long-term rehabilitation in patients with coronary heart disease. However, there have been no studies on Chinese physicians' and patients' attitude to shared decision making.
Methods/Design: This is a multicenter, large sample, cross-sectional, open-label, clinical survey. Participants are 1,000 Chinese patients with coronary heart disease and 200 medical staff members of both sexes over 18 years old. The primary survey index is the satisfaction of medical staff members and coronary heart disease patients with shared decision making. The secondary survey indices include staff and patient satisfaction with a clinical decision-making aid, patients' awareness of disease risk and curative benefits, and physician-patient trust.
Discussion: This study is the first to investigate the attitude of Chinese medical staff members and coronary heart disease patients to clinical shared decision making and to examine the feasibility of using this approach. This study provides an evidence-based foundation for investigating the problems and solutions of clinical shared decision making and strengthening the adherence to statin medication in patients with coronary heart disease.
Trial registration: This study protocol was registered at Chinese Clinical Trial Registry (registration number: ChiCTR-OCS-14004646).
Ethics: This study protocol has been approved by Ethics Committee, The First Affiliated Hospital of Dalian Medical University (approval number: LCKY2014-14) and will be performed in strict accordance with the Declaration of Helsinki, formulated by the World Medical Association.
Informed consent: Signed informed consent will be obtained from each included subject.