Research On Medical Decision Making Mode And Its Influencing Factors Based On Patients’ Perspective

The deepening of China’s reform and opening up has brought about great development of national economy and improvement of people’s living standard.With the progress of society and the improvement of material life,people’s ideas are changing.People’s consciousness of subjectivity,rights and participation are constantly increasing.In the new medical model,the patient’s autonomy is more prominent in the clinical diagnosis and treatment.Therefore,to understand the characteristics of patients’ decision-making in the process of seeking medical treatment and to explore how to promote the effective communication between doctors and patients on clinical decisions can provide a reference for medical personnel to make medical decisions.Make the treatment of patient’s condition reach the best curative effect.Objective:to take the patients as the research object,through the questionnaire and the data contrast analysis method to carry out the related research on medical decision making,mainly including:(1)Understanding of patients’ cognition of medical decision makers in clinical diagnosis and treatment;(2)To understand the willingness of patients to participate in medical decision making;(3)To understand the degree of patients’ perceived participation in medical decision-making in the specific diagnosis and treatment behavior;(4)The related factors that affect the patient’s participation in the clinical decision-making are analyzed;Discuss suggestions for promoting common medical decisions.Methods: Referring to the literature,books and policy documents related to medical decision,accurately understanding the basic concepts of medical decision,mastering the basic theory of medical decision,and synthetically analyzing the viewpoints of related research at home and abroad,Forming the basic theoretical framework of this study;Refer to PICS,combined with the actual needs of the research,under the guidance of our tutors,we compiled the questionnaire needed for the study,and after the preliminary investigation,reliability and validity test,we finally determined the questionnaire of this survey.A total of 450 outpatients and hospitalized patients were selected from the The First Affiliated Hospital of Guangzhou Medical University,the Second Affiliated Hospital of Guangzhou Medical University,the Third Affiliated Hospital of Guangzhou Medical University,Guangzhou First People’s Hospital,Zhongshan University Affiliated Tumor Hospital and the Affiliated Tumor Hospital of Guangzhou Medical University.The questionnaire was used to investigate the patients’ cognition of medical decision makers,their willingness to participate in medical decisions,the status quo of participating in medical decisions,and the relevant factors affecting patients’ participation in medical decision-making.Results:(1)The cognition of the main body of the clinical decision.Education factors affect the cognition of patients’ right of clinical decision-making.There are statistical differences between the secondary school and the following degree patients(P=0.002 < 0.05).There are statistical differences between the secondary school and the following degree patients and the postgraduate(P=0.031 < 0.05).Patients with junior college education and undergraduate education(P=0.018 < 0.05)were statistically different.The marriage factor affects the patient’s cognition of the decision maker of the recovery scheme.For the choice of the recovery scheme,the married patients are more inclined to choose the cooperative decision than the other patients.The factors of age and educational background affect the cognition of the decision makers when the patients are in conflict.The cognitive composition of the patients with different ages is different,and the cognitive composition of the patients with technical secondary school or below is different from that of the patients with bachelor’s degree.(2)The willingness to participate in medical decision making.There was no statistical difference in willingness to participate in medical decision making among different sex,marital status,occupation and family income.The patients of different age(P=0.041 < 0.05)have statistical difference,the older the older the more tend to be active decision-making,the younger the younger the more inclined to passive decision-making;The patients with different educational background(P=0.019 < 0.05)have statistical difference,the more patients with higher education tend to be active decision making,the less educated,the more inclined to passive decision-making.(3)the tendentious choice of different medical decision models.Of the 415 patients,73.50% chose cooperative decision making,indicating that most patients tended to cooperate in decision-making.The patients’ choice of different medical decision models,54.70% of the patients choose their family members to participate in decision-making model,which indicates that more patients tend to be involved in the decision-making model.(4)the factors that affect patients’ participation in medical decision-making are the influence of doctors’ decisionmaking attitude on patients’ participation in medical decision-making,the influence of doctors’ inquiry mode on patients’ participation in medical decision-making,and the influence of patients’ education on their participation in medical decisions.The influence of family factors on patients’ participation in medical decision-making.Discussion: The construction of the rational medical decision model:(1)the value of patients’ participation in decision-making should be fully valued.(2)strengthening the management of patients’ participation in decision-making;(3)providing information support for patients’ participation in medical decision-making;(4)moderately interfering with patients’ improper choices;(5)giving full play to the "support" of family members."and" correction "function.