Effect of shared decision-making education on physicians’ perceptions and practices of end-of-life care in Korea

Background Evidence of the ethical appropriateness and clinical benefits of shared decision-making (SDM) are accumulating. This study aimed to not only identify physicians’ perspectives on SDM, and practices related to end-of-life care in particular, but also to gauge the effect of SDM education on...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Byung Chul Yu [verfasserIn] Miyeun Han [verfasserIn] Gang-Jee Ko [verfasserIn] Jae Won Yang [verfasserIn] Soon Hyo Kwon [verfasserIn] Sungjin Chung [verfasserIn] Yu Ah Hong [verfasserIn] Young Youl Hyun [verfasserIn] Jang-Hee Cho [verfasserIn] Kyung Don Yoo [verfasserIn] Eunjin Bae [verfasserIn] Woo Yeong Park [verfasserIn] In O Sun [verfasserIn] Dongryul Kim [verfasserIn] Hyunsuk Kim [verfasserIn] Won Min Hwang [verfasserIn] Sang Heon Song [verfasserIn] Sung Joon Shin [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch ; Koreanisch

Erschienen:	2022

Schlagwörter:	clinical decision-making end-of-life care life-sustaining treatment patient-centered care physician preference shared decision-making

Übergeordnetes Werk:	In: Kidney Research and Clinical Practice - The Korean Society of Nephrology, 2018, 41(2022), 2, Seite 242-252
Übergeordnetes Werk:	volume:41 ; year:2022 ; number:2 ; pages:242-252

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.23876/j.krcp.21.071

Katalog-ID:	DOAJ032963823

Internformat


LEADER	01000caa a22002652 4500
001	DOAJ032963823
003	DE-627
005	20230502135034.0
007	cr uuu---uuuuu
008	230226s2022 xx \|\|\|\|\|o 00\| \|\|eng c
024	7		\|a 10.23876/j.krcp.21.071 \|2 doi
035			\|a (DE-627)DOAJ032963823
035			\|a (DE-599)DOAJ1c39aa3dff034f3aaa0ff9dee9d9ea19
040			\|a DE-627 \|b ger \|c DE-627 \|e rakwb
041			\|a eng \|a kor
050		0	\|a RC31-1245
050		0	\|a RC581-951
100	0		\|a Byung Chul Yu \|e verfasserin \|4 aut
245	1	0	\|a Effect of shared decision-making education on physicians’ perceptions and practices of end-of-life care in Korea
264		1	\|c 2022
336			\|a Text \|b txt \|2 rdacontent
337			\|a Computermedien \|b c \|2 rdamedia
338			\|a Online-Ressource \|b cr \|2 rdacarrier
520			\|a Background Evidence of the ethical appropriateness and clinical benefits of shared decision-making (SDM) are accumulating. This study aimed to not only identify physicians’ perspectives on SDM, and practices related to end-of-life care in particular, but also to gauge the effect of SDM education on physicians in Korea. Methods A 14-item questionnaire survey using a modified Delphi process was delivered to nephrologists and internal medicine trainees at 17 university hospitals. Results A total of 309 physicians completed the survey. Although respondents reported that 69.9% of their practical decisions were made using SDM, 59.9% reported that it is not being applied appropriately. Only 12.3% of respondents had received education on SDM as part of their training. The main obstacles to appropriate SDM were identified as lack of time (46.0%), educational materials and tools (29.4%), and education on SDM (24.3%). Although only a few respondents had received training on SDM, the proportion of those who thought they were using SDM appropriately in actual practice was high; the proportion of those who chose lack of time and education as factors that hindered the proper application of SDM was low. Conclusion The majority of respondents believed that SDM was not being implemented properly in Korea, despite its use in actual practice. To improve the effectiveness of SDM in the Korean medical system, appropriate training programs and supplemental policies that guarantee sufficient application time are required.
650		4	\|a clinical decision-making
650		4	\|a end-of-life care
650		4	\|a life-sustaining treatment
650		4	\|a patient-centered care
650		4	\|a physician preference
650		4	\|a shared decision-making
653		0	\|a Internal medicine
653		0	\|a Specialties of internal medicine
700	0		\|a Miyeun Han \|e verfasserin \|4 aut
700	0		\|a Gang-Jee Ko \|e verfasserin \|4 aut
700	0		\|a Jae Won Yang \|e verfasserin \|4 aut
700	0		\|a Soon Hyo Kwon \|e verfasserin \|4 aut
700	0		\|a Sungjin Chung \|e verfasserin \|4 aut
700	0		\|a Yu Ah Hong \|e verfasserin \|4 aut
700	0		\|a Young Youl Hyun \|e verfasserin \|4 aut
700	0		\|a Jang-Hee Cho \|e verfasserin \|4 aut
700	0		\|a Kyung Don Yoo \|e verfasserin \|4 aut
700	0		\|a Eunjin Bae \|e verfasserin \|4 aut
700	0		\|a Woo Yeong Park \|e verfasserin \|4 aut
700	0		\|a In O Sun \|e verfasserin \|4 aut
700	0		\|a Dongryul Kim \|e verfasserin \|4 aut
700	0		\|a Hyunsuk Kim \|e verfasserin \|4 aut
700	0		\|a Won Min Hwang \|e verfasserin \|4 aut
700	0		\|a Sang Heon Song \|e verfasserin \|4 aut
700	0		\|a Sung Joon Shin \|e verfasserin \|4 aut
773	0	8	\|i In \|t Kidney Research and Clinical Practice \|d The Korean Society of Nephrology, 2018 \|g 41(2022), 2, Seite 242-252 \|w (DE-627)689392699 \|w (DE-600)2656420-8 \|x 22119140 \|7 nnns
773	1	8	\|g volume:41 \|g year:2022 \|g number:2 \|g pages:242-252
856	4	0	\|u https://doi.org/10.23876/j.krcp.21.071 \|z kostenfrei
856	4	0	\|u https://doaj.org/article/1c39aa3dff034f3aaa0ff9dee9d9ea19 \|z kostenfrei
856	4	0	\|u http://www.krcp-ksn.org/upload/pdf/j-krcp-21-071.pdf \|z kostenfrei
856	4	2	\|u https://doaj.org/toc/2211-9132 \|y Journal toc \|z kostenfrei
856	4	2	\|u https://doaj.org/toc/2211-9140 \|y Journal toc \|z kostenfrei
912			\|a GBV_USEFLAG_A
912			\|a SYSFLAG_A
912			\|a GBV_DOAJ
912			\|a SSG-OLC-PHA
912			\|a GBV_ILN_20
912			\|a GBV_ILN_22
912			\|a GBV_ILN_23
912			\|a GBV_ILN_24
912			\|a GBV_ILN_31
912			\|a GBV_ILN_39
912			\|a GBV_ILN_40
912			\|a GBV_ILN_60
912			\|a GBV_ILN_62
912			\|a GBV_ILN_63
912			\|a GBV_ILN_65
912			\|a GBV_ILN_69
912			\|a GBV_ILN_73
912			\|a GBV_ILN_74
912			\|a GBV_ILN_95
912			\|a GBV_ILN_105
912			\|a GBV_ILN_110
912			\|a GBV_ILN_151
912			\|a GBV_ILN_161
912			\|a GBV_ILN_170
912			\|a GBV_ILN_206
912			\|a GBV_ILN_213
912			\|a GBV_ILN_230
912			\|a GBV_ILN_285
912			\|a GBV_ILN_293
912			\|a GBV_ILN_602
912			\|a GBV_ILN_2014
912			\|a GBV_ILN_4012
912			\|a GBV_ILN_4037
912			\|a GBV_ILN_4112
912			\|a GBV_ILN_4125
912			\|a GBV_ILN_4126
912			\|a GBV_ILN_4249
912			\|a GBV_ILN_4305
912			\|a GBV_ILN_4306
912			\|a GBV_ILN_4307
912			\|a GBV_ILN_4313
912			\|a GBV_ILN_4322
912			\|a GBV_ILN_4323
912			\|a GBV_ILN_4324
912			\|a GBV_ILN_4325
912			\|a GBV_ILN_4338
912			\|a GBV_ILN_4367
912			\|a GBV_ILN_4700
951			\|a AR
952			\|d 41 \|j 2022 \|e 2 \|h 242-252

Indexfelder

author_variant	b c y bcy m h mh g j k gjk j w y jwy s h k shk s c sc y a h yah y y h yyh j h c jhc k d y kdy e b eb w y p wyp i o s ios d k dk h k hk w m h wmh s h s shs s j s sjs
matchkey_str	article:22119140:2022----::fetfhrdeiinaigdctoopyiinpretosnpat
hierarchy_sort_str	2022
callnumber-subject-code	RC
publishDate	2022
allfields	10.23876/j.krcp.21.071 doi (DE-627)DOAJ032963823 (DE-599)DOAJ1c39aa3dff034f3aaa0ff9dee9d9ea19 DE-627 ger DE-627 rakwb eng kor RC31-1245 RC581-951 Byung Chul Yu verfasserin aut Effect of shared decision-making education on physicians’ perceptions and practices of end-of-life care in Korea 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Evidence of the ethical appropriateness and clinical benefits of shared decision-making (SDM) are accumulating. This study aimed to not only identify physicians’ perspectives on SDM, and practices related to end-of-life care in particular, but also to gauge the effect of SDM education on physicians in Korea. Methods A 14-item questionnaire survey using a modified Delphi process was delivered to nephrologists and internal medicine trainees at 17 university hospitals. Results A total of 309 physicians completed the survey. Although respondents reported that 69.9% of their practical decisions were made using SDM, 59.9% reported that it is not being applied appropriately. Only 12.3% of respondents had received education on SDM as part of their training. The main obstacles to appropriate SDM were identified as lack of time (46.0%), educational materials and tools (29.4%), and education on SDM (24.3%). Although only a few respondents had received training on SDM, the proportion of those who thought they were using SDM appropriately in actual practice was high; the proportion of those who chose lack of time and education as factors that hindered the proper application of SDM was low. Conclusion The majority of respondents believed that SDM was not being implemented properly in Korea, despite its use in actual practice. To improve the effectiveness of SDM in the Korean medical system, appropriate training programs and supplemental policies that guarantee sufficient application time are required. clinical decision-making end-of-life care life-sustaining treatment patient-centered care physician preference shared decision-making Internal medicine Specialties of internal medicine Miyeun Han verfasserin aut Gang-Jee Ko verfasserin aut Jae Won Yang verfasserin aut Soon Hyo Kwon verfasserin aut Sungjin Chung verfasserin aut Yu Ah Hong verfasserin aut Young Youl Hyun verfasserin aut Jang-Hee Cho verfasserin aut Kyung Don Yoo verfasserin aut Eunjin Bae verfasserin aut Woo Yeong Park verfasserin aut In O Sun verfasserin aut Dongryul Kim verfasserin aut Hyunsuk Kim verfasserin aut Won Min Hwang verfasserin aut Sang Heon Song verfasserin aut Sung Joon Shin verfasserin aut In Kidney Research and Clinical Practice The Korean Society of Nephrology, 2018 41(2022), 2, Seite 242-252 (DE-627)689392699 (DE-600)2656420-8 22119140 nnns volume:41 year:2022 number:2 pages:242-252 https://doi.org/10.23876/j.krcp.21.071 kostenfrei https://doaj.org/article/1c39aa3dff034f3aaa0ff9dee9d9ea19 kostenfrei http://www.krcp-ksn.org/upload/pdf/j-krcp-21-071.pdf kostenfrei https://doaj.org/toc/2211-9132 Journal toc kostenfrei https://doaj.org/toc/2211-9140 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 41 2022 2 242-252
spelling	10.23876/j.krcp.21.071 doi (DE-627)DOAJ032963823 (DE-599)DOAJ1c39aa3dff034f3aaa0ff9dee9d9ea19 DE-627 ger DE-627 rakwb eng kor RC31-1245 RC581-951 Byung Chul Yu verfasserin aut Effect of shared decision-making education on physicians’ perceptions and practices of end-of-life care in Korea 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Evidence of the ethical appropriateness and clinical benefits of shared decision-making (SDM) are accumulating. This study aimed to not only identify physicians’ perspectives on SDM, and practices related to end-of-life care in particular, but also to gauge the effect of SDM education on physicians in Korea. Methods A 14-item questionnaire survey using a modified Delphi process was delivered to nephrologists and internal medicine trainees at 17 university hospitals. Results A total of 309 physicians completed the survey. Although respondents reported that 69.9% of their practical decisions were made using SDM, 59.9% reported that it is not being applied appropriately. Only 12.3% of respondents had received education on SDM as part of their training. The main obstacles to appropriate SDM were identified as lack of time (46.0%), educational materials and tools (29.4%), and education on SDM (24.3%). Although only a few respondents had received training on SDM, the proportion of those who thought they were using SDM appropriately in actual practice was high; the proportion of those who chose lack of time and education as factors that hindered the proper application of SDM was low. Conclusion The majority of respondents believed that SDM was not being implemented properly in Korea, despite its use in actual practice. To improve the effectiveness of SDM in the Korean medical system, appropriate training programs and supplemental policies that guarantee sufficient application time are required. clinical decision-making end-of-life care life-sustaining treatment patient-centered care physician preference shared decision-making Internal medicine Specialties of internal medicine Miyeun Han verfasserin aut Gang-Jee Ko verfasserin aut Jae Won Yang verfasserin aut Soon Hyo Kwon verfasserin aut Sungjin Chung verfasserin aut Yu Ah Hong verfasserin aut Young Youl Hyun verfasserin aut Jang-Hee Cho verfasserin aut Kyung Don Yoo verfasserin aut Eunjin Bae verfasserin aut Woo Yeong Park verfasserin aut In O Sun verfasserin aut Dongryul Kim verfasserin aut Hyunsuk Kim verfasserin aut Won Min Hwang verfasserin aut Sang Heon Song verfasserin aut Sung Joon Shin verfasserin aut In Kidney Research and Clinical Practice The Korean Society of Nephrology, 2018 41(2022), 2, Seite 242-252 (DE-627)689392699 (DE-600)2656420-8 22119140 nnns volume:41 year:2022 number:2 pages:242-252 https://doi.org/10.23876/j.krcp.21.071 kostenfrei https://doaj.org/article/1c39aa3dff034f3aaa0ff9dee9d9ea19 kostenfrei http://www.krcp-ksn.org/upload/pdf/j-krcp-21-071.pdf kostenfrei https://doaj.org/toc/2211-9132 Journal toc kostenfrei https://doaj.org/toc/2211-9140 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 41 2022 2 242-252
allfields_unstemmed	10.23876/j.krcp.21.071 doi (DE-627)DOAJ032963823 (DE-599)DOAJ1c39aa3dff034f3aaa0ff9dee9d9ea19 DE-627 ger DE-627 rakwb eng kor RC31-1245 RC581-951 Byung Chul Yu verfasserin aut Effect of shared decision-making education on physicians’ perceptions and practices of end-of-life care in Korea 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Evidence of the ethical appropriateness and clinical benefits of shared decision-making (SDM) are accumulating. This study aimed to not only identify physicians’ perspectives on SDM, and practices related to end-of-life care in particular, but also to gauge the effect of SDM education on physicians in Korea. Methods A 14-item questionnaire survey using a modified Delphi process was delivered to nephrologists and internal medicine trainees at 17 university hospitals. Results A total of 309 physicians completed the survey. Although respondents reported that 69.9% of their practical decisions were made using SDM, 59.9% reported that it is not being applied appropriately. Only 12.3% of respondents had received education on SDM as part of their training. The main obstacles to appropriate SDM were identified as lack of time (46.0%), educational materials and tools (29.4%), and education on SDM (24.3%). Although only a few respondents had received training on SDM, the proportion of those who thought they were using SDM appropriately in actual practice was high; the proportion of those who chose lack of time and education as factors that hindered the proper application of SDM was low. Conclusion The majority of respondents believed that SDM was not being implemented properly in Korea, despite its use in actual practice. To improve the effectiveness of SDM in the Korean medical system, appropriate training programs and supplemental policies that guarantee sufficient application time are required. clinical decision-making end-of-life care life-sustaining treatment patient-centered care physician preference shared decision-making Internal medicine Specialties of internal medicine Miyeun Han verfasserin aut Gang-Jee Ko verfasserin aut Jae Won Yang verfasserin aut Soon Hyo Kwon verfasserin aut Sungjin Chung verfasserin aut Yu Ah Hong verfasserin aut Young Youl Hyun verfasserin aut Jang-Hee Cho verfasserin aut Kyung Don Yoo verfasserin aut Eunjin Bae verfasserin aut Woo Yeong Park verfasserin aut In O Sun verfasserin aut Dongryul Kim verfasserin aut Hyunsuk Kim verfasserin aut Won Min Hwang verfasserin aut Sang Heon Song verfasserin aut Sung Joon Shin verfasserin aut In Kidney Research and Clinical Practice The Korean Society of Nephrology, 2018 41(2022), 2, Seite 242-252 (DE-627)689392699 (DE-600)2656420-8 22119140 nnns volume:41 year:2022 number:2 pages:242-252 https://doi.org/10.23876/j.krcp.21.071 kostenfrei https://doaj.org/article/1c39aa3dff034f3aaa0ff9dee9d9ea19 kostenfrei http://www.krcp-ksn.org/upload/pdf/j-krcp-21-071.pdf kostenfrei https://doaj.org/toc/2211-9132 Journal toc kostenfrei https://doaj.org/toc/2211-9140 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 41 2022 2 242-252
allfieldsGer	10.23876/j.krcp.21.071 doi (DE-627)DOAJ032963823 (DE-599)DOAJ1c39aa3dff034f3aaa0ff9dee9d9ea19 DE-627 ger DE-627 rakwb eng kor RC31-1245 RC581-951 Byung Chul Yu verfasserin aut Effect of shared decision-making education on physicians’ perceptions and practices of end-of-life care in Korea 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Evidence of the ethical appropriateness and clinical benefits of shared decision-making (SDM) are accumulating. This study aimed to not only identify physicians’ perspectives on SDM, and practices related to end-of-life care in particular, but also to gauge the effect of SDM education on physicians in Korea. Methods A 14-item questionnaire survey using a modified Delphi process was delivered to nephrologists and internal medicine trainees at 17 university hospitals. Results A total of 309 physicians completed the survey. Although respondents reported that 69.9% of their practical decisions were made using SDM, 59.9% reported that it is not being applied appropriately. Only 12.3% of respondents had received education on SDM as part of their training. The main obstacles to appropriate SDM were identified as lack of time (46.0%), educational materials and tools (29.4%), and education on SDM (24.3%). Although only a few respondents had received training on SDM, the proportion of those who thought they were using SDM appropriately in actual practice was high; the proportion of those who chose lack of time and education as factors that hindered the proper application of SDM was low. Conclusion The majority of respondents believed that SDM was not being implemented properly in Korea, despite its use in actual practice. To improve the effectiveness of SDM in the Korean medical system, appropriate training programs and supplemental policies that guarantee sufficient application time are required. clinical decision-making end-of-life care life-sustaining treatment patient-centered care physician preference shared decision-making Internal medicine Specialties of internal medicine Miyeun Han verfasserin aut Gang-Jee Ko verfasserin aut Jae Won Yang verfasserin aut Soon Hyo Kwon verfasserin aut Sungjin Chung verfasserin aut Yu Ah Hong verfasserin aut Young Youl Hyun verfasserin aut Jang-Hee Cho verfasserin aut Kyung Don Yoo verfasserin aut Eunjin Bae verfasserin aut Woo Yeong Park verfasserin aut In O Sun verfasserin aut Dongryul Kim verfasserin aut Hyunsuk Kim verfasserin aut Won Min Hwang verfasserin aut Sang Heon Song verfasserin aut Sung Joon Shin verfasserin aut In Kidney Research and Clinical Practice The Korean Society of Nephrology, 2018 41(2022), 2, Seite 242-252 (DE-627)689392699 (DE-600)2656420-8 22119140 nnns volume:41 year:2022 number:2 pages:242-252 https://doi.org/10.23876/j.krcp.21.071 kostenfrei https://doaj.org/article/1c39aa3dff034f3aaa0ff9dee9d9ea19 kostenfrei http://www.krcp-ksn.org/upload/pdf/j-krcp-21-071.pdf kostenfrei https://doaj.org/toc/2211-9132 Journal toc kostenfrei https://doaj.org/toc/2211-9140 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 41 2022 2 242-252
allfieldsSound	10.23876/j.krcp.21.071 doi (DE-627)DOAJ032963823 (DE-599)DOAJ1c39aa3dff034f3aaa0ff9dee9d9ea19 DE-627 ger DE-627 rakwb eng kor RC31-1245 RC581-951 Byung Chul Yu verfasserin aut Effect of shared decision-making education on physicians’ perceptions and practices of end-of-life care in Korea 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Evidence of the ethical appropriateness and clinical benefits of shared decision-making (SDM) are accumulating. This study aimed to not only identify physicians’ perspectives on SDM, and practices related to end-of-life care in particular, but also to gauge the effect of SDM education on physicians in Korea. Methods A 14-item questionnaire survey using a modified Delphi process was delivered to nephrologists and internal medicine trainees at 17 university hospitals. Results A total of 309 physicians completed the survey. Although respondents reported that 69.9% of their practical decisions were made using SDM, 59.9% reported that it is not being applied appropriately. Only 12.3% of respondents had received education on SDM as part of their training. The main obstacles to appropriate SDM were identified as lack of time (46.0%), educational materials and tools (29.4%), and education on SDM (24.3%). Although only a few respondents had received training on SDM, the proportion of those who thought they were using SDM appropriately in actual practice was high; the proportion of those who chose lack of time and education as factors that hindered the proper application of SDM was low. Conclusion The majority of respondents believed that SDM was not being implemented properly in Korea, despite its use in actual practice. To improve the effectiveness of SDM in the Korean medical system, appropriate training programs and supplemental policies that guarantee sufficient application time are required. clinical decision-making end-of-life care life-sustaining treatment patient-centered care physician preference shared decision-making Internal medicine Specialties of internal medicine Miyeun Han verfasserin aut Gang-Jee Ko verfasserin aut Jae Won Yang verfasserin aut Soon Hyo Kwon verfasserin aut Sungjin Chung verfasserin aut Yu Ah Hong verfasserin aut Young Youl Hyun verfasserin aut Jang-Hee Cho verfasserin aut Kyung Don Yoo verfasserin aut Eunjin Bae verfasserin aut Woo Yeong Park verfasserin aut In O Sun verfasserin aut Dongryul Kim verfasserin aut Hyunsuk Kim verfasserin aut Won Min Hwang verfasserin aut Sang Heon Song verfasserin aut Sung Joon Shin verfasserin aut In Kidney Research and Clinical Practice The Korean Society of Nephrology, 2018 41(2022), 2, Seite 242-252 (DE-627)689392699 (DE-600)2656420-8 22119140 nnns volume:41 year:2022 number:2 pages:242-252 https://doi.org/10.23876/j.krcp.21.071 kostenfrei https://doaj.org/article/1c39aa3dff034f3aaa0ff9dee9d9ea19 kostenfrei http://www.krcp-ksn.org/upload/pdf/j-krcp-21-071.pdf kostenfrei https://doaj.org/toc/2211-9132 Journal toc kostenfrei https://doaj.org/toc/2211-9140 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 41 2022 2 242-252
language	English Korean
source	In Kidney Research and Clinical Practice 41(2022), 2, Seite 242-252 volume:41 year:2022 number:2 pages:242-252
sourceStr	In Kidney Research and Clinical Practice 41(2022), 2, Seite 242-252 volume:41 year:2022 number:2 pages:242-252
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	clinical decision-making end-of-life care life-sustaining treatment patient-centered care physician preference shared decision-making Internal medicine Specialties of internal medicine
isfreeaccess_bool	true
container_title	Kidney Research and Clinical Practice
authorswithroles_txt_mv	Byung Chul Yu @@aut@@ Miyeun Han @@aut@@ Gang-Jee Ko @@aut@@ Jae Won Yang @@aut@@ Soon Hyo Kwon @@aut@@ Sungjin Chung @@aut@@ Yu Ah Hong @@aut@@ Young Youl Hyun @@aut@@ Jang-Hee Cho @@aut@@ Kyung Don Yoo @@aut@@ Eunjin Bae @@aut@@ Woo Yeong Park @@aut@@ In O Sun @@aut@@ Dongryul Kim @@aut@@ Hyunsuk Kim @@aut@@ Won Min Hwang @@aut@@ Sang Heon Song @@aut@@ Sung Joon Shin @@aut@@
publishDateDaySort_date	2022-01-01T00:00:00Z
hierarchy_top_id	689392699
id	DOAJ032963823
language_de	englisch koreanisch
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ032963823</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230502135034.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230226s2022 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.23876/j.krcp.21.071</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ032963823</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ1c39aa3dff034f3aaa0ff9dee9d9ea19</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield><subfield code="a">kor</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RC31-1245</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RC581-951</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Byung Chul Yu</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Effect of shared decision-making education on physicians’ perceptions and practices of end-of-life care in Korea</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2022</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background Evidence of the ethical appropriateness and clinical benefits of shared decision-making (SDM) are accumulating. This study aimed to not only identify physicians’ perspectives on SDM, and practices related to end-of-life care in particular, but also to gauge the effect of SDM education on physicians in Korea. Methods A 14-item questionnaire survey using a modified Delphi process was delivered to nephrologists and internal medicine trainees at 17 university hospitals. Results A total of 309 physicians completed the survey. Although respondents reported that 69.9% of their practical decisions were made using SDM, 59.9% reported that it is not being applied appropriately. Only 12.3% of respondents had received education on SDM as part of their training. The main obstacles to appropriate SDM were identified as lack of time (46.0%), educational materials and tools (29.4%), and education on SDM (24.3%). Although only a few respondents had received training on SDM, the proportion of those who thought they were using SDM appropriately in actual practice was high; the proportion of those who chose lack of time and education as factors that hindered the proper application of SDM was low. Conclusion The majority of respondents believed that SDM was not being implemented properly in Korea, despite its use in actual practice. To improve the effectiveness of SDM in the Korean medical system, appropriate training programs and supplemental policies that guarantee sufficient application time are required.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">clinical decision-making</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">end-of-life care</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">life-sustaining treatment</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">patient-centered care</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">physician preference</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">shared decision-making</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Internal medicine</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Specialties of internal medicine</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Miyeun Han</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Gang-Jee Ko</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Jae Won Yang</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Soon Hyo Kwon</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Sungjin Chung</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Yu Ah Hong</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Young Youl Hyun</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Jang-Hee Cho</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Kyung Don Yoo</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Eunjin Bae</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Woo Yeong Park</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">In O Sun</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Dongryul Kim</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Hyunsuk Kim</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Won Min Hwang</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Sang Heon Song</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Sung Joon Shin</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">In</subfield><subfield code="t">Kidney Research and Clinical Practice</subfield><subfield code="d">The Korean Society of Nephrology, 2018</subfield><subfield code="g">41(2022), 2, Seite 242-252</subfield><subfield code="w">(DE-627)689392699</subfield><subfield code="w">(DE-600)2656420-8</subfield><subfield code="x">22119140</subfield><subfield code="7">nnns</subfield></datafield><datafield tag="773" ind1="1" ind2="8"><subfield code="g">volume:41</subfield><subfield code="g">year:2022</subfield><subfield code="g">number:2</subfield><subfield code="g">pages:242-252</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doi.org/10.23876/j.krcp.21.071</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doaj.org/article/1c39aa3dff034f3aaa0ff9dee9d9ea19</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">http://www.krcp-ksn.org/upload/pdf/j-krcp-21-071.pdf</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">https://doaj.org/toc/2211-9132</subfield><subfield code="y">Journal toc</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">https://doaj.org/toc/2211-9140</subfield><subfield code="y">Journal toc</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_USEFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SYSFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_DOAJ</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SSG-OLC-PHA</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_20</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_22</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_23</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_24</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_31</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_39</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_40</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_60</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_62</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_63</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_65</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_69</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_73</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_74</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_95</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_105</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_110</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_151</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_161</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_170</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_206</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_213</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_230</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_285</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_293</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_602</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2014</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4012</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4037</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4112</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4125</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4126</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4249</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4305</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4306</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4307</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4313</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4322</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4323</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4324</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4325</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4338</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4367</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4700</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">AR</subfield></datafield><datafield tag="952" ind1=" " ind2=" "><subfield code="d">41</subfield><subfield code="j">2022</subfield><subfield code="e">2</subfield><subfield code="h">242-252</subfield></datafield></record></collection>
callnumber-first	R - Medicine
author	Byung Chul Yu
spellingShingle	Byung Chul Yu misc RC31-1245 misc RC581-951 misc clinical decision-making misc end-of-life care misc life-sustaining treatment misc patient-centered care misc physician preference misc shared decision-making misc Internal medicine misc Specialties of internal medicine Effect of shared decision-making education on physicians’ perceptions and practices of end-of-life care in Korea
authorStr	Byung Chul Yu
ppnlink_with_tag_str_mv	@@773@@(DE-627)689392699
format	electronic Article
delete_txt_mv	keep
author_role	aut aut aut aut aut aut aut aut aut aut aut aut aut aut aut aut aut aut
collection	DOAJ
remote_str	true
callnumber-label	RC31-1245
illustrated	Not Illustrated
issn	22119140
topic_title	RC31-1245 RC581-951 Effect of shared decision-making education on physicians’ perceptions and practices of end-of-life care in Korea clinical decision-making end-of-life care life-sustaining treatment patient-centered care physician preference shared decision-making
topic	misc RC31-1245 misc RC581-951 misc clinical decision-making misc end-of-life care misc life-sustaining treatment misc patient-centered care misc physician preference misc shared decision-making misc Internal medicine misc Specialties of internal medicine
topic_unstemmed	misc RC31-1245 misc RC581-951 misc clinical decision-making misc end-of-life care misc life-sustaining treatment misc patient-centered care misc physician preference misc shared decision-making misc Internal medicine misc Specialties of internal medicine
topic_browse	misc RC31-1245 misc RC581-951 misc clinical decision-making misc end-of-life care misc life-sustaining treatment misc patient-centered care misc physician preference misc shared decision-making misc Internal medicine misc Specialties of internal medicine
format_facet	Elektronische Aufsätze Aufsätze Elektronische Ressource
format_main_str_mv	Text Zeitschrift/Artikel
carriertype_str_mv	cr
hierarchy_parent_title	Kidney Research and Clinical Practice
hierarchy_parent_id	689392699
hierarchy_top_title	Kidney Research and Clinical Practice
isfreeaccess_txt	true
familylinks_str_mv	(DE-627)689392699 (DE-600)2656420-8
title	Effect of shared decision-making education on physicians’ perceptions and practices of end-of-life care in Korea
ctrlnum	(DE-627)DOAJ032963823 (DE-599)DOAJ1c39aa3dff034f3aaa0ff9dee9d9ea19
title_full	Effect of shared decision-making education on physicians’ perceptions and practices of end-of-life care in Korea
author_sort	Byung Chul Yu
journal	Kidney Research and Clinical Practice
journalStr	Kidney Research and Clinical Practice
callnumber-first-code	R
lang_code	eng kor
isOA_bool	true
recordtype	marc
publishDateSort	2022
contenttype_str_mv	txt
container_start_page	242
author_browse	Byung Chul Yu Miyeun Han Gang-Jee Ko Jae Won Yang Soon Hyo Kwon Sungjin Chung Yu Ah Hong Young Youl Hyun Jang-Hee Cho Kyung Don Yoo Eunjin Bae Woo Yeong Park In O Sun Dongryul Kim Hyunsuk Kim Won Min Hwang Sang Heon Song Sung Joon Shin
container_volume	41
class	RC31-1245 RC581-951
format_se	Elektronische Aufsätze
author-letter	Byung Chul Yu
doi_str_mv	10.23876/j.krcp.21.071
author2-role	verfasserin
title_sort	effect of shared decision-making education on physicians’ perceptions and practices of end-of-life care in korea
callnumber	RC31-1245
title_auth	Effect of shared decision-making education on physicians’ perceptions and practices of end-of-life care in Korea
abstract	Background Evidence of the ethical appropriateness and clinical benefits of shared decision-making (SDM) are accumulating. This study aimed to not only identify physicians’ perspectives on SDM, and practices related to end-of-life care in particular, but also to gauge the effect of SDM education on physicians in Korea. Methods A 14-item questionnaire survey using a modified Delphi process was delivered to nephrologists and internal medicine trainees at 17 university hospitals. Results A total of 309 physicians completed the survey. Although respondents reported that 69.9% of their practical decisions were made using SDM, 59.9% reported that it is not being applied appropriately. Only 12.3% of respondents had received education on SDM as part of their training. The main obstacles to appropriate SDM were identified as lack of time (46.0%), educational materials and tools (29.4%), and education on SDM (24.3%). Although only a few respondents had received training on SDM, the proportion of those who thought they were using SDM appropriately in actual practice was high; the proportion of those who chose lack of time and education as factors that hindered the proper application of SDM was low. Conclusion The majority of respondents believed that SDM was not being implemented properly in Korea, despite its use in actual practice. To improve the effectiveness of SDM in the Korean medical system, appropriate training programs and supplemental policies that guarantee sufficient application time are required.
abstractGer	Background Evidence of the ethical appropriateness and clinical benefits of shared decision-making (SDM) are accumulating. This study aimed to not only identify physicians’ perspectives on SDM, and practices related to end-of-life care in particular, but also to gauge the effect of SDM education on physicians in Korea. Methods A 14-item questionnaire survey using a modified Delphi process was delivered to nephrologists and internal medicine trainees at 17 university hospitals. Results A total of 309 physicians completed the survey. Although respondents reported that 69.9% of their practical decisions were made using SDM, 59.9% reported that it is not being applied appropriately. Only 12.3% of respondents had received education on SDM as part of their training. The main obstacles to appropriate SDM were identified as lack of time (46.0%), educational materials and tools (29.4%), and education on SDM (24.3%). Although only a few respondents had received training on SDM, the proportion of those who thought they were using SDM appropriately in actual practice was high; the proportion of those who chose lack of time and education as factors that hindered the proper application of SDM was low. Conclusion The majority of respondents believed that SDM was not being implemented properly in Korea, despite its use in actual practice. To improve the effectiveness of SDM in the Korean medical system, appropriate training programs and supplemental policies that guarantee sufficient application time are required.
abstract_unstemmed	Background Evidence of the ethical appropriateness and clinical benefits of shared decision-making (SDM) are accumulating. This study aimed to not only identify physicians’ perspectives on SDM, and practices related to end-of-life care in particular, but also to gauge the effect of SDM education on physicians in Korea. Methods A 14-item questionnaire survey using a modified Delphi process was delivered to nephrologists and internal medicine trainees at 17 university hospitals. Results A total of 309 physicians completed the survey. Although respondents reported that 69.9% of their practical decisions were made using SDM, 59.9% reported that it is not being applied appropriately. Only 12.3% of respondents had received education on SDM as part of their training. The main obstacles to appropriate SDM were identified as lack of time (46.0%), educational materials and tools (29.4%), and education on SDM (24.3%). Although only a few respondents had received training on SDM, the proportion of those who thought they were using SDM appropriately in actual practice was high; the proportion of those who chose lack of time and education as factors that hindered the proper application of SDM was low. Conclusion The majority of respondents believed that SDM was not being implemented properly in Korea, despite its use in actual practice. To improve the effectiveness of SDM in the Korean medical system, appropriate training programs and supplemental policies that guarantee sufficient application time are required.
collection_details	GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700
container_issue	2
title_short	Effect of shared decision-making education on physicians’ perceptions and practices of end-of-life care in Korea
url	https://doi.org/10.23876/j.krcp.21.071 https://doaj.org/article/1c39aa3dff034f3aaa0ff9dee9d9ea19 http://www.krcp-ksn.org/upload/pdf/j-krcp-21-071.pdf https://doaj.org/toc/2211-9132 https://doaj.org/toc/2211-9140
remote_bool	true
author2	Miyeun Han Gang-Jee Ko Jae Won Yang Soon Hyo Kwon Sungjin Chung Yu Ah Hong Young Youl Hyun Jang-Hee Cho Kyung Don Yoo Eunjin Bae Woo Yeong Park In O Sun Dongryul Kim Hyunsuk Kim Won Min Hwang Sang Heon Song Sung Joon Shin
author2Str	Miyeun Han Gang-Jee Ko Jae Won Yang Soon Hyo Kwon Sungjin Chung Yu Ah Hong Young Youl Hyun Jang-Hee Cho Kyung Don Yoo Eunjin Bae Woo Yeong Park In O Sun Dongryul Kim Hyunsuk Kim Won Min Hwang Sang Heon Song Sung Joon Shin
ppnlink	689392699
callnumber-subject	RC - Internal Medicine
mediatype_str_mv	c
isOA_txt	true
hochschulschrift_bool	false
doi_str	10.23876/j.krcp.21.071
callnumber-a	RC31-1245
up_date	2024-07-03T15:04:31.398Z
_version_	1803570717815472128
fullrecord_marcxml	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ032963823</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230502135034.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230226s2022 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.23876/j.krcp.21.071</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ032963823</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ1c39aa3dff034f3aaa0ff9dee9d9ea19</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield><subfield code="a">kor</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RC31-1245</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RC581-951</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Byung Chul Yu</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Effect of shared decision-making education on physicians’ perceptions and practices of end-of-life care in Korea</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2022</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background Evidence of the ethical appropriateness and clinical benefits of shared decision-making (SDM) are accumulating. This study aimed to not only identify physicians’ perspectives on SDM, and practices related to end-of-life care in particular, but also to gauge the effect of SDM education on physicians in Korea. Methods A 14-item questionnaire survey using a modified Delphi process was delivered to nephrologists and internal medicine trainees at 17 university hospitals. Results A total of 309 physicians completed the survey. Although respondents reported that 69.9% of their practical decisions were made using SDM, 59.9% reported that it is not being applied appropriately. Only 12.3% of respondents had received education on SDM as part of their training. The main obstacles to appropriate SDM were identified as lack of time (46.0%), educational materials and tools (29.4%), and education on SDM (24.3%). Although only a few respondents had received training on SDM, the proportion of those who thought they were using SDM appropriately in actual practice was high; the proportion of those who chose lack of time and education as factors that hindered the proper application of SDM was low. Conclusion The majority of respondents believed that SDM was not being implemented properly in Korea, despite its use in actual practice. To improve the effectiveness of SDM in the Korean medical system, appropriate training programs and supplemental policies that guarantee sufficient application time are required.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">clinical decision-making</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">end-of-life care</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">life-sustaining treatment</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">patient-centered care</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">physician preference</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">shared decision-making</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Internal medicine</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Specialties of internal medicine</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Miyeun Han</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Gang-Jee Ko</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Jae Won Yang</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Soon Hyo Kwon</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Sungjin Chung</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Yu Ah Hong</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Young Youl Hyun</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Jang-Hee Cho</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Kyung Don Yoo</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Eunjin Bae</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Woo Yeong Park</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">In O Sun</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Dongryul Kim</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Hyunsuk Kim</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Won Min Hwang</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Sang Heon Song</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Sung Joon Shin</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">In</subfield><subfield code="t">Kidney Research and Clinical Practice</subfield><subfield code="d">The Korean Society of Nephrology, 2018</subfield><subfield code="g">41(2022), 2, Seite 242-252</subfield><subfield code="w">(DE-627)689392699</subfield><subfield code="w">(DE-600)2656420-8</subfield><subfield code="x">22119140</subfield><subfield code="7">nnns</subfield></datafield><datafield tag="773" ind1="1" ind2="8"><subfield code="g">volume:41</subfield><subfield code="g">year:2022</subfield><subfield code="g">number:2</subfield><subfield code="g">pages:242-252</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doi.org/10.23876/j.krcp.21.071</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doaj.org/article/1c39aa3dff034f3aaa0ff9dee9d9ea19</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">http://www.krcp-ksn.org/upload/pdf/j-krcp-21-071.pdf</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">https://doaj.org/toc/2211-9132</subfield><subfield code="y">Journal toc</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">https://doaj.org/toc/2211-9140</subfield><subfield code="y">Journal toc</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_USEFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SYSFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_DOAJ</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SSG-OLC-PHA</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_20</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_22</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_23</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_24</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_31</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_39</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_40</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_60</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_62</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_63</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_65</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_69</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_73</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_74</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_95</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_105</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_110</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_151</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_161</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_170</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_206</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_213</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_230</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_285</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_293</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_602</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2014</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4012</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4037</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4112</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4125</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4126</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4249</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4305</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4306</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4307</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4313</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4322</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4323</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4324</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4325</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4338</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4367</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4700</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">AR</subfield></datafield><datafield tag="952" ind1=" " ind2=" "><subfield code="d">41</subfield><subfield code="j">2022</subfield><subfield code="e">2</subfield><subfield code="h">242-252</subfield></datafield></record></collection>
score	7.400193

Nicht das Richtige dabei?

Schreiben Sie uns!

Effect of shared decision-making education on physicians’ perceptions and practices of end-of-life care in Korea

Nicht das Richtige dabei?

Zugang & Verfügbarkeit

Vorhandene Bände

Nicht das Richtige dabei?