Power asymmetry and embarrassment in shared decision-making: predicting participation preference and decisional conflict.

ABSTRACT:

Background

Shared decision-making (SDM) is the gold standard for patient-clinician interaction, yet many patients are not actively involved in medical consultations and hesitate to engage in decisions on their health. Despite considerable efforts to improve implementation, research on barriers to SDM within the patient-clinician relationship and interaction is scant. To identify potential barriers to urological patients' participation in decision-making, we developed two novel scales assessing power asymmetry (PA-ME) and embarrassment in medical encounters (EmMed). The present study validates both scales in a large sample comprising urological patients and non-clinical participants. It further examines the effects of both factors on participation preferences and decisional conflict

SUBMITTER: Scherer KA 

PROVIDER: S-EPMC11892210 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature